Sealock, Michelle Rene

Sealock, Michelle Rene is an individual health care provider with primary practice located at 11211 Waples Mill Rd Suite 200, Fairfax VA 22030-7406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Sealock, Michelle Rene can be contacted via phone (703) 246-9560.

Contact Information

Primary practice address
11211 Waples Mill Rd Suite 200 Fairfax VA 22030-7406
Phone: (703) 246-9560
Fax: (703) 246-9564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002301 Virginia

Profile Details

NPI number 1063590446
LBN Legal business name Sealock, Michelle Rene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 30th, 2010 - about 16 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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