Bouveron, Martha Jean

Bouveron, Martha Jean is an individual health care provider with primary practice located at 8270 Willow Oaks Corporate Dr , Fairfax VA 22031-4511. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bouveron, Martha Jean can be contacted via phone (703) 338-5539.

Contact Information

Primary practice address
8270 Willow Oaks Corporate Dr Fairfax VA 22031-4511
Phone: (703) 338-5539
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1437655768
LBN Legal business name Bouveron, Martha Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated Apr 4th, 2018 - about 8 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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