Jeffery, Michelle Wilson

Jeffery, Michelle Wilson is an individual health care provider with primary practice located at 3300 Gallows Rd Department Of Medicine, Falls Church VA 22042-3307. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Jeffery, Michelle Wilson can be contacted via phone (703) 776-3582.

Contact Information

Primary practice address
3300 Gallows Rd Department Of Medicine Falls Church VA 22042-3307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2008-01093 North Carolina
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 0101259072 Virginia

Profile Details

NPI number 1093844052
LBN Legal business name Jeffery, Michelle Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Feb 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093844052 NPPES
South Carolina MEDICAID N0109E
South Carolina MEDICAID 5909883

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