Wood, Jeremy Jakob

Wood, Jeremy Jakob is an individual health care provider with primary practice located at 470 W Patrick St , Frederick MD 21701-4858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wood, Jeremy Jakob can be contacted via phone (301) 668-2020.

Contact Information

Primary practice address
470 W Patrick St Frederick MD 21701-4858
Phone: (301) 668-2020
Fax: (301) 620-8729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0097046 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101240205 Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25642 Louisiana

Profile Details

NPI number 1598714909
LBN Legal business name Wood, Jeremy Jakob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jun 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598714909 NPPES
Louisiana Other 33584 CDS
Louisiana Other 0101240205 CDS
Louisiana MEDICAID 1045926 CDS
Louisiana Other 25642 CDS

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