Cermak, Therese Soballe
Cermak, Therese Soballe is an sole proprietor health care provider with primary practice located at 1850 Town Center Pkwy , Reston VA 20190-3204. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Cermak, Therese Soballe can be contacted via phone (703) 689-9093.Contact Information
Primary practice address
1850 Town Center Pkwy
Reston VA 20190-3204
Phone: (703) 689-9093
Fax: (703) 639-9580
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD035880 | District of Columbia |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 0101053571 | Virginia |
Profile Details
NPI number | 1346480936 |
---|---|
LBN Legal business name | Cermak, Therese Soballe |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 23rd, 2009 |
Last updated | Jul 19th, 2023 - about last year |
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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