Dierker, Glory Fox
Dierker, Glory Fox is an sole proprietor health care provider with primary practice located at 5691 Columbia Pike Suite 200, Falls Church VA 22041. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dierker, Glory Fox can be contacted via phone (703) 998-5606.Contact Information
Primary practice address
5691 Columbia Pike Suite 200
Falls Church VA 22041
Phone: (703) 998-5606
Fax: (703) 998-5608
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 07010001557 | Virginia |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810002996 | Virginia |
Profile Details
NPI number | 1750455937 |
---|---|
LBN Legal business name | Dierker, Glory Fox |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 20th, 2006 |
Last updated | Feb 26th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750455937 | NPPES |
Other | 149749000 | DEPARTMENT OF LABOR | |
Other | 28110004 | DEPARTMENT OF LABOR | |
Other | 2122848 | DEPARTMENT OF LABOR | |
MEDICAID | 7713690 | DEPARTMENT OF LABOR | |
Other | 2811004 | DEPARTMENT OF LABOR | |
Other | 2811004 | DEPARTMENT OF LABOR | |
Other | 2129080 | DEPARTMENT OF LABOR | |
Other | 0972793 | DEPARTMENT OF LABOR | |
Other | 141701 | DEPARTMENT OF LABOR | |
Other | 461335000 | DEPARTMENT OF LABOR | |
Other | 541521659 | DEPARTMENT OF LABOR | |
Other | 28110004 | DEPARTMENT OF LABOR | |
Other | 4481805 | DEPARTMENT OF LABOR | |
Other | 541521659 | DEPARTMENT OF LABOR |
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