Modderman, Maryjoan H
Modderman, Maryjoan H is an individual health care provider with primary practice located at 14201 School Ln , Upper Marlboro MD 20772-2866. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Modderman, Maryjoan H can be contacted via phone (301) 567-8494.Contact Information
Primary practice address
14201 School Ln
Upper Marlboro MD 20772-2866
Phone: (301) 567-8494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01236 | Maryland |
Profile Details
| NPI number | 1912124298 |
|---|---|
| LBN Legal business name | Modderman, Maryjoan H |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | May 11th, 2009 - about 15 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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