Jefferson, Linda
Jefferson, Linda is an individual health care provider with primary practice located at 2670 Crain Hwy Suite 410, Waldorf MD 20601-2806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jefferson, Linda can be contacted via phone (301) 374-9300.Contact Information
Primary practice address
2670 Crain Hwy Suite 410
Waldorf MD 20601-2806
Phone: (301) 374-9300
Fax: (301) 374-9469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0054044 | Maryland |
Profile Details
| NPI number | 1164415832 |
|---|---|
| LBN Legal business name | Jefferson, Linda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jan 10th, 2017 - about 7 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 | 1164415832 | NPPES |
| Maryland | Other | KCJ9LI | BLUE CROSS |
| Maryland | Other | G338 0001 | BLUE CROSS |
| Maryland | Other | 0405399 | BLUE CROSS |
| Maryland | Other | 2121023 | BLUE CROSS |
| Maryland | MEDICAID | 332602100 | BLUE CROSS |
| Maryland | Other | DB5669 | BLUE CROSS |
| Maryland | Other | 100431 | BLUE CROSS |
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