Hairston-Jones, Shelly

Hairston-Jones, Shelly is an individual health care provider with primary practice located at 7490 New Technology Way , Frederick MD 21703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Hairston-Jones, Shelly can be contacted via phone (240) 566-1613.

Contact Information

Primary practice address
7490 New Technology Way Frederick MD 21703
Phone: (240) 566-1613
Fax: (240) 566-1620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0054663 Maryland

Profile Details

NPI number 1518968080
LBN Legal business name Hairston-Jones, Shelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 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 1518968080 NPPES
Maryland Other D0054663 STATE LICENSE NUMBER
Maryland MEDICAID 912602300 STATE LICENSE NUMBER

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