Jessie, Marquis Latrell

Jessie, Marquis Latrell is an sole proprietor health care provider with primary practice located at 1850 Town Center Pkwy Suite 258, Reston VA 20190-3219. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Jessie, Marquis Latrell can be contacted via phone (703) 435-1454.

Contact Information

Primary practice address
1850 Town Center Pkwy Suite 258 Reston VA 20190-3219
Phone: (703) 435-1454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A91999 California
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 0101250972 Virginia

Profile Details

NPI number 1487870614
LBN Legal business name Jessie, Marquis Latrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Mar 7th, 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 1487870614 NPPES
California Other A91999 LICENSE

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