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
Phone: (703) 776-3582
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093844052 | NPPES |
South Carolina | MEDICAID | N0109E | |
South Carolina | MEDICAID | 5909883 |
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