Jett, Patricia Polk
Jett, Patricia Polk is an individual health care provider with primary practice located at 129 Lubrano Dr Suite 100, Annapolis MD 21401-7566. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jett, Patricia Polk can be contacted via phone (410) 266-5852.Contact Information
Primary practice address
129 Lubrano Dr Suite 100
Annapolis MD 21401-7566
Phone: (410) 266-5852
Fax: (410) 266-5095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D50756 | Maryland |
Profile Details
| NPI number | 1609877018 |
|---|---|
| LBN Legal business name | Jett, Patricia Polk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | May 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609877018 | NPPES |
| Maryland | Other | 0597124 | AETNA CAPITATED |
| Maryland | Other | 5743200 | AETNA CAPITATED |
| Maryland | Other | 544390-02 | AETNA CAPITATED |
| Maryland | Other | 080093090 | AETNA CAPITATED |
| Maryland | Other | 860241 | AETNA CAPITATED |
| Maryland | Other | P14116 | AETNA CAPITATED |
| Maryland | Other | 2171119 | AETNA CAPITATED |
| Maryland | Other | 260241 | AETNA CAPITATED |
| Maryland | Other | 7605-0014 | AETNA CAPITATED |
| Maryland | MEDICAID | 452011400 | AETNA CAPITATED |
| Maryland | Other | 031003 | AETNA CAPITATED |
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