Goren, Craig Brad
Goren, Craig Brad is an sole proprietor health care provider with primary practice located at 617 Potomac Station Dr Ne Suite A, Leesburg VA 20176-1817. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goren, Craig Brad can be contacted via phone (703) 669-4646.Contact Information
Primary practice address
617 Potomac Station Dr Ne Suite A
Leesburg VA 20176-1817
Phone: (703) 669-4646
Fax: (703) 991-0514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001843 | Virginia |
Profile Details
| NPI number | 1528296456 |
|---|---|
| LBN Legal business name | Goren, Craig Brad |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Jun 2nd, 2021 - about 4 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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