Jaucian, Glenn R
Jaucian, Glenn R is an individual health care provider with primary practice located at 7700 Old Branch Ave Suite D203, Clinton MD 20735-1628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jaucian, Glenn R can be contacted via phone (301) 868-1220.Contact Information
Primary practice address
7700 Old Branch Ave Suite D203
Clinton MD 20735-1628
Phone: (301) 868-1220
Fax: (301) 856-3550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D0020824 | Maryland |
Profile Details
| NPI number | 1518958719 |
|---|---|
| LBN Legal business name | Jaucian, Glenn R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1518958719 | NPPES |
| Maryland | MEDICAID | 032791300 |
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