Moscoso, Jackson Ariel

Moscoso, Jackson Ariel is an sole proprietor health care provider with primary practice located at 3127 Plantation Pkwy , Fairfax VA 22030-2117. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Moscoso, Jackson Ariel can be contacted via phone (571) 594-8144.

Contact Information

Primary practice address
3127 Plantation Pkwy Fairfax VA 22030-2117
Phone: (571) 594-8144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 5092 Virginia

Profile Details

NPI number 1720625080
LBN Legal business name Moscoso, Jackson Ariel
Credentials SURGICAL ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2019
Last updated Dec 31st, 2019 - about 5 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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