Daniel, Tyrell Larry Junior

Daniel, Tyrell Larry Junior is an individual health care provider with primary practice located at 2300 Opitz Blvd , Woodbridge VA 22191-3311. He 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 / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Daniel, Tyrell Larry Junior can be contacted via phone (703) 523-1000.

Contact Information

Primary practice address
2300 Opitz Blvd Woodbridge VA 22191-3311
Phone: (703) 523-1000
Fax: (703) 670-2089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101281471 Virginia

Profile Details

NPI number 1427629997
LBN Legal business name Daniel, Tyrell Larry Junior
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2021
Last updated Jun 24th, 2024 - 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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