O'Donnell, Philip J.

O'Donnell, Philip J. is an sole proprietor health care provider with primary practice located at 513 W Broad St Unit 100, Falls Church VA 22046-3248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. O'Donnell, Philip J. can be contacted via phone (703) 940-0000.

Contact Information

Primary practice address
513 W Broad St Unit 100 Falls Church VA 22046-3248
Phone: (703) 940-0000
Fax: (703) 782-0207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101043748 Virginia

Profile Details

NPI number 1396706206
LBN Legal business name O'Donnell, Philip J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2006
Last updated Dec 12th, 2013 - about 12 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 1396706206 NPPES
Virginia Other 0101043748 STATE LIC #
Virginia Other G02788 STATE LIC #
Virginia Other G02788P01 STATE LIC #

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