Fruiterman, Jan Paul

Fruiterman, Jan Paul is an individual health care provider with primary practice located at 900 S Washington St St 300, Falls Church VA 22046-4020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fruiterman, Jan Paul can be contacted via phone (703) 532-2500.

Contact Information

Primary practice address
900 S Washington St St 300 Falls Church VA 22046-4020
Phone: (703) 532-2500
Fax: (703) 237-1184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101029267 Virginia

Profile Details

NPI number 1295727816
LBN Legal business name Fruiterman, Jan Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 16th, 2010 - about 14 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 1295727816 NPPES
Virginia MEDICAID 6211607

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