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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407822604 | NPPES |
| Virginia | MEDICAID | 6496059 |
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