Van Geffen, Jack J

Van Geffen, Jack J is an individual health care provider with primary practice located at 2002 Medical Pkwy Suite 235, Annapolis MD 21401-3046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Van Geffen, Jack J can be contacted via phone (410) 266-2770.

Contact Information

Primary practice address
2002 Medical Pkwy Suite 235 Annapolis MD 21401-3046
Phone: (410) 266-2770
Fax: (410) 841-6251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X D0019967 Maryland

Profile Details

NPI number 1487656245
LBN Legal business name Van Geffen, Jack J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 16th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487656245 NPPES
Maryland Other 10690008 BCBS
Maryland Other 1487656245 BCBS
Maryland Other 300031317 BCBS
Maryland Other A14 BCBS
Maryland Other 414894ZED1 BCBS
Maryland Other 8317071 BCBS
Maryland MEDICAID 155951600 BCBS
Maryland Other 2622593 BCBS
Maryland Other 494M BCBS
Maryland Other JG95 BCBS

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