Tan, Jeremias C

Tan, Jeremias C is an individual health care provider with primary practice located at 3700 Joseph Siewick Dr Ste 308 , Fairfax VA 22033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tan, Jeremias C can be contacted via phone (703) 698-8960.

Contact Information

Primary practice address
3700 Joseph Siewick Dr Ste 308 Fairfax VA 22033
Phone: (703) 698-8960
Fax: (647) 646-4744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101239223 Virginia

Profile Details

NPI number 1699723213
LBN Legal business name Tan, Jeremias C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699723213 NPPES
Other 302447 ANTHEM BCBS
Other 302474 ANTHEM BCBS
Other 346674 ANTHEM BCBS
Other 206263 ANTHEM BCBS
Other 206265 ANTHEM BCBS
Other 0101239223 ANTHEM BCBS
Other 341909 ANTHEM BCBS
Other 79160018 ANTHEM BCBS
MEDICAID 1699723213 ANTHEM BCBS

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