Jennings, Marcus Darrell

Jennings, Marcus Darrell is an individual health care provider with primary practice located at 19441 Golf Vista Plaza Suite 230 & 310 , Leesburg VA 20176-8272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Jennings, Marcus Darrell can be contacted via phone (703) 729-3420.

Contact Information

Primary practice address
19441 Golf Vista Plaza Suite 230 & 310 Leesburg VA 20176-8272
Phone: (703) 729-3420
Fax: (703) 729-3422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0092220 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD049407 District of Columbia
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X MD049407 District of Columbia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101274037 Virginia

Profile Details

NPI number 1114292588
LBN Legal business name Jennings, Marcus Darrell
Credentials MD, MSPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2012
Last updated Oct 6th, 2023 - about 2 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 1114292588 NPPES
Virginia MEDICAID 30017455970001
Virginia MEDICAID 1114292588

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