Reisner, Darrell Steven
Reisner, Darrell Steven is an individual health care provider with primary practice located at 21475 Ridgetop Cir Ste 300 , Sterling VA 20166-8580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Reisner, Darrell Steven can be contacted via phone (703) 430-4400.Contact Information
Primary practice address
21475 Ridgetop Cir Ste 300
Sterling VA 20166-8580
Phone: (703) 430-4400
Fax: (703) 430-4130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101055065 | Virginia |
Profile Details
| NPI number | 1912095019 |
|---|---|
| LBN Legal business name | Reisner, Darrell Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Oct 3rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912095019 | NPPES |
| Virginia | MEDICAID | 1912095019 | |
| Virginia | MEDICAID | 30015419120001 |
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