Raphaelson, Marc I

Raphaelson, Marc I is an individual health care provider with primary practice located at 525K East Market St , Leesburg VA 20176. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Raphaelson, Marc I can be contacted via phone (703) 771-0274.

Contact Information

Primary practice address
525K East Market St Leesburg VA 20176
Phone: (703) 771-0274
Fax: (703) 771-0276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2084N0400X Maryland
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 0101042614 Virginia
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 14958 West Virginia
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X D0026660 Maryland
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101042614 Virginia

Profile Details

NPI number 1841264413
LBN Legal business name Raphaelson, Marc I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Dec 10th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841264413 NPPES
Maryland MEDICAID 13908 1300

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