Primmer, Andrew Lane

Primmer, Andrew Lane is an individual health care provider with primary practice located at 8280 Willow Oaks Corporate Dr Ste 641, Fairfax VA 22031. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Primmer, Andrew Lane can be contacted via phone (703) 659-4557.

Contact Information

Primary practice address
8280 Willow Oaks Corporate Dr Ste 641 Fairfax VA 22031
Phone: (703) 659-4557
Fax: (703) 205-9010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 0136000468 Virginia

Profile Details

NPI number 1841050077
LBN Legal business name Primmer, Andrew Lane
Credentials CSA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2024
Last updated Mar 22nd, 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 1841050077 NPPES
Other 195631 NBSTSA

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