Slack, James W

Slack, James W is an individual health care provider with primary practice located at 12255 Fair Lakes Parkway , Fairfax VA 22033-3952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Slack, James W can be contacted via phone (703) 934-5820.

Contact Information

Primary practice address
12255 Fair Lakes Parkway Fairfax VA 22033-3952
Phone: (703) 934-5820
Fax: (703) 934-5290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD15560 District of Columbia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0054382 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101229044 Virginia

Profile Details

NPI number 1073689253
LBN Legal business name Slack, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jun 22nd, 2021 - about 4 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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