Thompson, Jennifer Bracken

Thompson, Jennifer Bracken is an individual health care provider with primary practice located at 19455 Deerfield Avenue, Suite 204 , Leesburg VA 20176-8102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Thompson, Jennifer Bracken can be contacted via phone (703) 858-1500.

Contact Information

Primary practice address
19455 Deerfield Avenue, Suite 204 Leesburg VA 20176-8102
Phone: (703) 858-1500
Fax: (703) 858-5022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101055717 Virginia

Profile Details

NPI number 1336199959
LBN Legal business name Thompson, Jennifer Bracken
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 6th, 2024 - about 9 months 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 1336199959 NPPES
Virginia MEDICAID 30016139270001
Virginia MEDICAID 1336199959

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