Depue, Jeremiah J

Depue, Jeremiah J is an individual health care provider with primary practice located at 8008 Westpark Dr Kaiser Permanente Tysons Corner Medical Center, Mc Lean VA 22102-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Depue, Jeremiah J can be contacted via phone (703) 287-6400.

Contact Information

Primary practice address
8008 Westpark Dr Kaiser Permanente Tysons Corner Medical Center Mc Lean VA 22102-3109
Phone: (703) 287-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101242180 Virginia

Profile Details

NPI number 1093864795
LBN Legal business name Depue, Jeremiah J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Sep 17th, 2013 - about 12 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 1093864795 NPPES
District of Columbia Other 390200000X STUDENT IN AN ORGANIZED H

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