Perez, Michael D

Perez, Michael D is an individual health care provider with primary practice located at 8640 Sudley Rd Suite 203, Manassas VA 20110-4420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez, Michael D can be contacted via phone (703) 368-3161.

Contact Information

Primary practice address
8640 Sudley Rd Suite 203 Manassas VA 20110-4420
Phone: (703) 368-3161
Fax: (703) 368-2498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101043080 Virginia

Profile Details

NPI number 1609876135
LBN Legal business name Perez, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Feb 24th, 2023 - about last year

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 1609876135 NPPES
Virginia MEDICAID 1609876135
Virginia MEDICAID 5617235

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