Han, John
Han, John is an individual health care provider with primary practice located at 9901 Fairfax Blvd , Fairfax VA 22030-1740. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Han, John can be contacted via phone (703) 383-3434.Contact Information
Primary practice address
9901 Fairfax Blvd
Fairfax VA 22030-1740
Phone: (703) 383-3434
Fax: (703) 383-3113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 0401410533 | Virginia |
Profile Details
| NPI number | 1780781351 |
|---|---|
| LBN Legal business name | Han, John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Sep 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780781351 | NPPES |
| Virginia | MEDICAID | 9180424 |
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