Brems, Jacob Allaire
Brems, Jacob Allaire is an sole proprietor health care provider with primary practice located at 19415 Deerfield Avenue, Suite 112 , Leesburg VA 20176-8470. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Brems, Jacob Allaire can be contacted via phone (703) 724-1195.Contact Information
Primary practice address
19415 Deerfield Avenue, Suite 112
Leesburg VA 20176-8470
Phone: (703) 724-1195
Fax: (703) 724-4495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2021-01541 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0101274796 | Virginia |
Profile Details
| NPI number | 1215381462 |
|---|---|
| LBN Legal business name | Brems, Jacob Allaire |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2016 |
| Last updated | Nov 29th, 2022 - about 2 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 | 1215381462 | NPPES |
| Virginia | MEDICAID | 1215381462 |
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