Gannon, Elizabeth Honore
Gannon, Elizabeth Honore is an individual health care provider with primary practice located at 11930 Democracy Dr , Reston VA 20190-5624. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gannon, Elizabeth Honore can be contacted via phone (202) 220-0050.Contact Information
Primary practice address
11930 Democracy Dr
Reston VA 20190-5624
Phone: (202) 220-0050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0116018418 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO034874 | District of Columbia |
Profile Details
| NPI number | 1245433572 |
|---|---|
| LBN Legal business name | Gannon, Elizabeth Honore |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2007 |
| Last updated | Jun 22nd, 2023 - 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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