Mtv Health Center

LBN: Premise Health Of Connecticut Medical, P.C.
Mtv Health Center is an health care organization with primary practice located at 9600 Godwin Dr , Manassas VA 20110-4162. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Premise Health Of Connecticut Medical, P.C. can be contacted via phone (703) 396-1067, or through Leizman, Jon via phone (216) 479-9063.

Contact Information

Primary practice address
9600 Godwin Dr Manassas VA 20110-4162
Phone: (703) 396-1067
Fax: (703) 396-1060
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jon Doctor of Medicine (MD)
Phone: (216) 479-9063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1598054793
LBN Legal business name Premise Health Of Connecticut Medical, P.C.
DBA Doing business as Mtv Health Center
Authorized official Leizman, Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2011
Last updated Aug 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers