Abdulle, Abucar Adan
Abdulle, Abucar Adan is an sole proprietor health care provider with primary practice located at 12761 Darby Brook Ct Ste 101, Woodbridge VA 22192-2405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abdulle, Abucar Adan can be contacted via phone (703) 730-5064.Contact Information
Primary practice address
12761 Darby Brook Ct Ste 101
Woodbridge VA 22192-2405
Phone: (703) 730-5064
Fax: (571) 408-4308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101046722 | Virginia |
Profile Details
| NPI number | 1073659900 |
|---|---|
| LBN Legal business name | Abdulle, Abucar Adan |
| Credentials | INTERNAL MEDICINE MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Feb 15th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073659900 | NPPES |
| Virginia | MEDICAID | 005844266 |
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