Ginsberg, Jacalyn Gordon
Ginsberg, Jacalyn Gordon is an individual health care provider with primary practice located at 844 Ritchie Hwy Suite 206, Severna Park MD 21176. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ginsberg, Jacalyn Gordon can be contacted via phone (410) 647-8306.Contact Information
Primary practice address
844 Ritchie Hwy Suite 206
Severna Park MD 21176
Phone: (410) 647-8306
Fax: (410) 315-8444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | H51249 | Maryland |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | H51249 | Maryland |
Profile Details
| NPI number | 1053383117 |
|---|---|
| LBN Legal business name | Ginsberg, Jacalyn Gordon |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053383117 | NPPES |
| Other | 11120 | BS POS | |
| Other | OH64 | BS POS | |
| Other | T5930002 | BS POS | |
| Other | H51249 | BS POS | |
| Other | 08795 | BS POS | |
| Other | T5930002 | BS POS |
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