Malcolm, Jasmine

Malcolm, Jasmine is an individual health care provider with primary practice located at 174 Thomas Johnson Dr Ste 100 , Frederick MD 21702-4569. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Malcolm, Jasmine can be contacted via phone (301) 662-2000.

Contact Information

Primary practice address
174 Thomas Johnson Dr Ste 100 Frederick MD 21702-4569
Phone: (301) 662-2000
Fax: (301) 662-2500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0073819 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101244373 Virginia

Profile Details

NPI number 1750520888
LBN Legal business name Malcolm, Jasmine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2009
Last updated Sep 2nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750520888 NPPES
Maryland MEDICAID 331903200

Popular Providers