Grandeo, Jason Eric

Grandeo, Jason Eric is an individual health care provider with primary practice located at 5130 Wilson Blvd Suite B-1, Arlington VA 22205. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Grandeo, Jason Eric can be contacted via phone (703) 527-9557.

Contact Information

Primary practice address
5130 Wilson Blvd Suite B-1 Arlington VA 22205
Phone: (703) 527-9557
Fax: (703) 526-0438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2305202947 Virginia

Profile Details

NPI number 1801008172
LBN Legal business name Grandeo, Jason Eric
Credentials MPT OCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 17 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 1801008172 NPPES
Virginia Other 291437 BCBS

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