Pedicano, Jennifer Bischoff

Pedicano, Jennifer Bischoff is an individual health care provider with primary practice located at 100 Elden St Ste 10 , Herndon VA 20170-4833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Pedicano, Jennifer Bischoff can be contacted via phone (703) 689-2000.

Contact Information

Primary practice address
100 Elden St Ste 10 Herndon VA 20170-4833
Fax: (703) 478-6612
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101246807 Virginia

Profile Details

NPI number 1568638229
LBN Legal business name Pedicano, Jennifer Bischoff
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated Apr 18th, 2024 - about 8 months 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 1568638229 NPPES
Virginia MEDICAID 1568638229
Virginia Other 6M5932

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