Rosenblum, Phillip Leon

Rosenblum, Phillip Leon is an sole proprietor health care provider with primary practice located at 1495 Chain Bridge Rd Suite 202, Mclean VA 22101-5727. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rosenblum, Phillip Leon can be contacted via phone (703) 517-0435.

Contact Information

Primary practice address
1495 Chain Bridge Rd Suite 202 Mclean VA 22101-5727
Phone: (703) 517-0435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904000101 Virginia

Profile Details

NPI number 1215144902
LBN Legal business name Rosenblum, Phillip Leon
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1215144902 NPPES
Virginia Other 6161-0001 CAREFIRST BC-BS

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