Gernert, Jeffrey Jared

Gernert, Jeffrey Jared is an sole proprietor health care provider with primary practice located at 1350 Connecticut Ave Nw Suite 801, Washington DC 20036-1722. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gernert, Jeffrey Jared can be contacted via phone (202) 669-9160.

Contact Information

Primary practice address
1350 Connecticut Ave Nw Suite 801 Washington DC 20036-1722
Fax: (202) 518-8246
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 03249 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1903 District of Columbia

Profile Details

NPI number 1689683773
LBN Legal business name Gernert, Jeffrey Jared
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2006
Last updated Apr 15th, 2014 - about 11 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 1689683773 NPPES
Maryland MEDICAID 220100301

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