Klousia, John W

Klousia, John W is an individual health care provider with primary practice located at 7910 Andrus Rd Suite 6, Alexandria VA 22306-3171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Klousia, John W can be contacted via phone (703) 780-5474.

Contact Information

Primary practice address
7910 Andrus Rd Suite 6 Alexandria VA 22306-3171
Phone: (703) 780-5474
Fax: (703) 799-4092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 021065 Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X VA021065 Virginia

Profile Details

NPI number 1063491603
LBN Legal business name Klousia, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Nov 25th, 2013 - about 11 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 1063491603 NPPES
Virginia MEDICAID 010273404

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