Egan, James

Egan, James is an individual health care provider with primary practice located at 11680 Doolittle Dr Suite 111, Waldorf MD 20602-3801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Egan, James can be contacted via phone (240) 607-2756.

Contact Information

Primary practice address
11680 Doolittle Dr Suite 111 Waldorf MD 20602-3801
Phone: (240) 607-2756
Fax: (240) 607-2776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0101042094 Virginia

Profile Details

NPI number 1346216827
LBN Legal business name Egan, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Sep 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346216827 NPPES
Maryland MEDICAID 409491301

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