Francis, Jack David

Francis, Jack David is an individual health care provider with primary practice located at 7500 Greenway Center Dr 8Th Floor, Greenbelt MD 20770-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Francis, Jack David can be contacted via phone (301) 477-2000.

Contact Information

Primary practice address
7500 Greenway Center Dr 8Th Floor Greenbelt MD 20770-3502
Fax: (301) 474-2389
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D0019191 Maryland
Allopathic & Osteopathic Physicians / Urology 208800000X MD9096 District of Columbia

Profile Details

NPI number 1114966603
LBN Legal business name Francis, Jack David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 15th, 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 1114966603 NPPES
Other 35301905 BCBS MD GREENBELT OFFICE
Other G02425M05 BCBS MD GREENBELT OFFICE
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MEDICAID 310891100 BCBS MD GREENBELT OFFICE
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