Roth, Jeremy Bonn
Roth, Jeremy Bonn is an individual health care provider with primary practice located at 7490 New Technology Way , Frederick MD 21703-8370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Roth, Jeremy Bonn can be contacted via phone (240) 566-1600.Contact Information
Primary practice address
7490 New Technology Way
Frederick MD 21703-8370
Phone: (240) 566-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D50052 | Maryland |
Profile Details
| NPI number | 1346288628 |
|---|---|
| LBN Legal business name | Roth, Jeremy Bonn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Aug 13th, 2013 - about 11 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 | 1346288628 | NPPES |
| Other | 601285800 | FECA | |
| MEDICAID | 834910000 | FECA |
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