Conness-Jablonski, Diane Mary

Conness-Jablonski, Diane Mary is an individual health care provider with primary practice located at 12444 Dillingham Sq , Woodbridge VA 22192-5258. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Conness-Jablonski, Diane Mary can be contacted via phone (703) 680-4323.

Contact Information

Primary practice address
12444 Dillingham Sq Woodbridge VA 22192-5258
Phone: (703) 680-4323
Fax: (703) 680-4358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000204 Virginia

Profile Details

NPI number 1578524096
LBN Legal business name Conness-Jablonski, Diane Mary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Apr 7th, 2008 - about 16 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 1578524096 NPPES
Virginia Other 965551 AETNA HMO ID#
Virginia Other 211872 AETNA HMO ID#
Virginia Other 4308449 AETNA HMO ID#
Virginia Other 031111 AETNA HMO ID#
Virginia Other 54-1330725 AETNA HMO ID#
Virginia Other 54-1330725 AETNA HMO ID#
Virginia Other 1744962 AETNA HMO ID#
Virginia Other 22-00012 AETNA HMO ID#

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