North, John M

North, John M is an individual health care provider with primary practice located at 2730-A Prosperity Avenue , Fairfax VA 22031-4330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. North, John M can be contacted via phone (703) 289-1400.

Contact Information

Primary practice address
2730-A Prosperity Avenue Fairfax VA 22031-4330
Fax: (703) 289-1414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101044050 Virginia

Profile Details

NPI number 1215977962
LBN Legal business name North, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 15th, 2007 - about 17 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 1215977962 NPPES
Virginia MEDICAID 6717811
Virginia MEDICAID 6717829
Virginia MEDICAID 6746047

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