Omelon, Jerry Anthony
Omelon, Jerry Anthony is an sole proprietor health care provider with primary practice located at 1340 Old Chain Bridge Rd Suite 101, Mclean VA 22101-3955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Omelon, Jerry Anthony can be contacted via phone (703) 893-2273.Contact Information
Primary practice address
1340 Old Chain Bridge Rd Suite 101
Mclean VA 22101-3955
Phone: (703) 893-2273
Fax: (703) 893-4559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101050531 | Virginia |
Profile Details
| NPI number | 1568598787 |
|---|---|
| LBN Legal business name | Omelon, Jerry Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 8th, 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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