George, Jeannine Erika

George, Jeannine Erika is an individual health care provider with primary practice located at 3450 Ellicott Center Dr Ste 105 , Ellicott City MD 21043-4666. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. George, Jeannine Erika can be contacted via phone (301) 905-2334.

Contact Information

Primary practice address
3450 Ellicott Center Dr Ste 105 Ellicott City MD 21043-4666
Phone: (301) 905-2334
Fax: (410) 869-4149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01417 Maryland
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 01417 Maryland

Profile Details

NPI number 1528039161
LBN Legal business name George, Jeannine Erika
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Feb 17th, 2022 - about 2 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 1528039161 NPPES
Maryland MEDICAID 408339300

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