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Contact Information

JEFFREY L IDOL, DPM
515 CHARLES STREET
LA PLATA, MD20646
 Phone: 301-934-3345
 Fax: 301-934-3345
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JEFFREY L IDOL · (Male)

NPI Number 1689682734
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/04/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 00992
Hospital affiliation(s)
  • CALVERT MEMORIAL HOSPITAL - (Acute Care)
    100 HOSPITAL ROAD
    PRINCE FREDERICK, MD 20678
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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