Mendell, Jeffrey Varyck
Mendell, Jeffrey Varyck is an sole proprietor health care provider with primary practice located at 170 Thomas Johnson Dr Suite 200, Frederick MD 21702-4354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mendell, Jeffrey Varyck can be contacted via phone (301) 695-8390.Contact Information
Primary practice address
170 Thomas Johnson Dr Suite 200
Frederick MD 21702-4354
Phone: (301) 695-8390
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D36477 | Maryland |
Profile Details
NPI number | 1760661854 |
---|---|
LBN Legal business name | Mendell, Jeffrey Varyck |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2007 |
Last updated | Sep 20th, 2016 - about 9 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 | 1760661854 | NPPES |
Maryland | MEDICAID | 26336-1200 |
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