Ryan, Jacqueline
Ryan, Jacqueline is an individual health care provider with primary practice located at 11116 Medical Campus Rd , Hagerstown MD 21742-6710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ryan, Jacqueline can be contacted via phone (301) 790-8804.Contact Information
Primary practice address
11116 Medical Campus Rd
Hagerstown MD 21742-6710
Phone: (301) 790-8804
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0057078 | Maryland |
Profile Details
| NPI number | 1851360192 |
|---|---|
| LBN Legal business name | Ryan, Jacqueline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Feb 28th, 2023 - about 2 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 | 1851360192 | NPPES |
| District of Columbia | Other | 0017 | CAREFIRST BCBS |
| District of Columbia | Other | 7539450 | CAREFIRST BCBS |
| District of Columbia | Other | 3112374 | CAREFIRST BCBS |
| District of Columbia | Other | 61003502 | CAREFIRST BCBS |
| District of Columbia | Other | 110243912 | CAREFIRST BCBS |
| District of Columbia | MEDICAID | 827402900 | CAREFIRST BCBS |
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