Kong, Jie

Kong, Jie is an individual health care provider with primary practice located at 10802 Hickory Ridge Rd , Columbia MD 21044-3622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kong, Jie can be contacted via phone (410) 997-1336.

Contact Information

Primary practice address
10802 Hickory Ridge Rd Columbia MD 21044-3622
Phone: (410) 997-1336
Fax: (410) 997-1636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R143501 Maryland

Profile Details

NPI number 1215040951
LBN Legal business name Kong, Jie
Credentials CRNP MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jan 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215040951 NPPES
Maryland Other 5707 ELDERHEALTH
Maryland MEDICAID 038278500 ELDERHEALTH
Maryland Other 783571 ELDERHEALTH
Maryland Other 90192801 ELDERHEALTH
Maryland Other 293176 ELDERHEALTH
Maryland Other 1013404 ELDERHEALTH
Maryland MEDICAID 1215040951 ELDERHEALTH
Maryland Other N1510003 ELDERHEALTH
Maryland Other 1013404 ELDERHEALTH
Maryland MEDICAID 411436100 ELDERHEALTH

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