Jessup, Douglas E

Jessup, Douglas E is an individual health care provider with primary practice located at 7858 Shrader Rd , Richmond VA 23294. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Jessup, Douglas E can be contacted via phone (804) 270-1305.

Contact Information

Primary practice address
7858 Shrader Rd Richmond VA 23294
Phone: (804) 270-1305
Fax: (804) 273-9294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101036486 Virginia
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 0101036486 Virginia

Profile Details

NPI number 1407822604
LBN Legal business name Jessup, Douglas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 1st, 2017 - about 7 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 1407822604 NPPES
Virginia MEDICAID 6496059

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