Andrew, John Alan

Andrew, John Alan is an individual health care provider with primary practice located at 224D Cornwall St Nw Ste 301 , Leesburg VA 20176-2704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Andrew, John Alan can be contacted via phone (703) 777-1146.

Contact Information

Primary practice address
224D Cornwall St Nw Ste 301 Leesburg VA 20176-2704
Fax: (703) 777-3144
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101036900 Virginia

Profile Details

NPI number 1700870755
LBN Legal business name Andrew, John Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Apr 15th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700870755 NPPES
Virginia MEDICAID 05841739
Virginia Other 110204542

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