Vrdoljak, Jake
Vrdoljak, Jake is an individual health care provider with primary practice located at 8926 Woodyard Rd Suite 301, Clinton MD 20735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Radiological Physics. Allopathic & Osteopathic Physicians / Radiological Physics is his primary health care specialty. Vrdoljak, Jake can be contacted via phone (301) 856-3670.Contact Information
Primary practice address
8926 Woodyard Rd Suite 301
Clinton MD 20735
Phone: (301) 856-3670
Fax: (301) 868-0129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 285721 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD31914 | District of Columbia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2020036306 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13076C | Wyoming |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 16881 | North Dakota |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0053852 | Maryland |
| Allopathic & Osteopathic Physicians / Radiological Physics | 2085R0205X | 036095623 | Illinois |
| Allopathic & Osteopathic Physicians / Radiological Physics | 2085R0205X | 0101222180 | Virginia |
Profile Details
| NPI number | 1619976230 |
|---|---|
| LBN Legal business name | Vrdoljak, Jake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Dec 28th, 2023 - about last year |
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 | 1619976230 | NPPES |
| District of Columbia | MEDICAID | 023794900 | |
| District of Columbia | MEDICAID | 510908600 | |
| District of Columbia | MEDICAID | 1619976230 |
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