Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | D0033458 | MD |
Y | 207RA0201X | Internist - Allergy & Immunology | D33458 | MD |
NPI | 1841295714 |
---|---|
Provider Name | Dr. Jerome M Shier |
First Address | Potomac, MD 20854-2847 |
Second Address | Baltimore, MD 21224-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 31/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100451400 | (05) | MD |
511840A77 | MEDICARE ID-TYPE UNSPECIFIED (01) | |
D09664 | (02) |