Segall, Errol
Segall, Errol is an individual health care provider with primary practice located at 8500 Executive Park Ave Suite 200, Fairfax VA 22031-2225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Segall, Errol can be contacted via phone (703) 698-5220.Contact Information
Primary practice address
8500 Executive Park Ave Suite 200
Fairfax VA 22031-2225
Phone: (703) 698-5220
Fax: (703) 573-2351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101031662 | Virginia |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0042679 | Maryland |
Profile Details
NPI number | 1407855190 |
---|---|
LBN Legal business name | Segall, Errol |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2005 |
Last updated | Nov 10th, 2011 - about 13 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 | 1407855190 | NPPES |
Virginia | Other | 513455 | NCPPO |
Virginia | Other | 032028 | NCPPO |
Virginia | Other | 520045 | NCPPO |
Virginia | MEDICAID | 403200400 | NCPPO |
Virginia | Other | 4137282 | NCPPO |
Virginia | Other | 0001 | NCPPO |
Virginia | Other | 110142-000 | NCPPO |
Virginia | Other | 153479 | NCPPO |
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