Ottley Sam, Jeuelle M
Ottley Sam, Jeuelle M is an individual health care provider with primary practice located at 7610 Carroll Ave Suite 200, Takoma Park MD 20912-6384. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ottley Sam, Jeuelle M can be contacted via phone (301) 891-2077.Contact Information
Primary practice address
7610 Carroll Ave Suite 200
Takoma Park MD 20912-6384
Phone: (301) 891-2077
Fax: (301) 891-2080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0002743 | Maryland |
Profile Details
| NPI number | 1740341924 |
|---|---|
| LBN Legal business name | Ottley Sam, Jeuelle M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Mar 5th, 2021 - about 4 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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