Mize, James R

Mize, James R is an individual health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mize, James R can be contacted via phone (703) 776-2638.

Contact Information

Primary practice address
3300 Gallows Rd Falls Church VA 22042-3307
Phone: (703) 776-2638
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101230993 Virginia

Profile Details

NPI number 1477554434
LBN Legal business name Mize, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jan 26th, 2009 - about 15 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 1477554434 NPPES
Virginia MEDICAID 010096731

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