Ward, Jeanine A.
Ward, Jeanine A. is an individual health care provider with primary practice located at 50 Foden Rd Ste 3 , South Portland ME 04106-1718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ward, Jeanine A. can be contacted via phone (207) 523-3700.Contact Information
Primary practice address
50 Foden Rd Ste 3
South Portland ME 04106-1718
Phone: (207) 523-3700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 238871 | Massachusetts |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD20099 | Maine |
Profile Details
NPI number | 1770708570 |
---|---|
LBN Legal business name | Ward, Jeanine A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2007 |
Last updated | May 13th, 2024 - about 7 months 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 | 1770708570 | NPPES |
Massachusetts | MEDICAID | 110082116A |
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