Healthcare Provider Details

I. General information

NPI: 1851667687
Provider Name (Legal Business Name): JEREMIAH STEPHEN HINSON PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JOHNS HOPKINS HOSPITAL 1830 E. MONUMENT ST, 6-100
BALTIMORE MD
21287-0001
US

IV. Provider business mailing address

JOHNS HOPKINS HOSPITAL 1830 E. MONUMENT ST, 6-100
BALTIMORE MD
21287-0001
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-3380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD81098
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: