Gleason, John Douglas

Gleason, John Douglas is an sole proprietor health care provider with primary practice located at 1001 Sam Perry Blvd Radiologic Associates Of Fredericksburg, Fredericksburg VA 22401-4453. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gleason, John Douglas can be contacted via phone (540) 361-1000.

Contact Information

Primary practice address
1001 Sam Perry Blvd Radiologic Associates Of Fredericksburg Fredericksburg VA 22401-4453
Phone: (540) 361-1000
Fax: (540) 361-7010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01012455477 Virginia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 0101245477 Virginia

Profile Details

NPI number 1578680302
LBN Legal business name Gleason, John Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2007
Last updated Feb 8th, 2016 - about 8 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 1578680302 NPPES
Virginia MEDICAID 1578680302

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