Daniel, Jerome M

Daniel, Jerome M is an individual health care provider with primary practice located at 1441 Johnston Willis Dr , North Chesterfield VA 23235-4730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Daniel, Jerome M can be contacted via phone (804) 320-1333.

Contact Information

Primary practice address
1441 Johnston Willis Dr North Chesterfield VA 23235-4730
Phone: (804) 320-1333
Fax: (804) 320-5606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101028297 Virginia

Profile Details

NPI number 1790770329
LBN Legal business name Daniel, Jerome M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jan 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790770329 NPPES
Virginia MEDICAID 5609771

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