Jenet, Richard N

Jenet, Richard N is an individual health care provider with primary practice located at 2296 Opitz Blvd #440, Woodbridge VA 22191-3300. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Jenet, Richard N can be contacted via phone (703) 878-0740.

Contact Information

Primary practice address
2296 Opitz Blvd #440 Woodbridge VA 22191-3300
Fax: (703) 878-3933
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101038636 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101038636 Virginia

Profile Details

NPI number 1417930538
LBN Legal business name Jenet, Richard N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Feb 14th, 2022 - about 3 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 1417930538 NPPES
Virginia MEDICAID 006201601

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