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Contact Information

JESSE B JALAZO, MD
1002 SUSHRUTA DR
MARTINSBURG, WV25401
 Phone: 304-263-0913
 Fax: 304-267-2917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JESSE B JALAZO · (Male)

NPI Number 1134181688
Status Active
Credentials MD
Entity Individual
Enumeration date 04/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 14159
  • WV Medicaid 0084592000
  • Other 4403390 AETNA
Hospital affiliation(s)
  • CITY HOSPITAL - (Acute Care)
    2500 HOSPITAL DRIVE
    MARTINSBURG, WV 25401
  • JEFFERSON MEMORIAL HOSPITAL - (Critical Access)
    300 SOUTH PRESTON STREET
    RANSON, WV 25438
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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