Avella, Victor Jose

Avella, Victor Jose is an individual health care provider with primary practice located at 110 Irving St Nw , Washington DC 20010-3017. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Avella, Victor Jose can be contacted via phone (202) 877-7504.

Contact Information

Primary practice address
110 Irving St Nw Washington DC 20010-3017
Phone: (202) 877-7504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA000030 District of Columbia

Profile Details

NPI number 1235414020
LBN Legal business name Avella, Victor Jose
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2011
Last updated Oct 12th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235414020 NPPES
District of Columbia MEDICAID 027447100

Popular Providers