Underwood, James Austin

Underwood, James Austin is an individual health care provider with primary practice located at 25055 Riding Plz Ste 260 , Chantilly VA 20152-5922. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Underwood, James Austin can be contacted via phone (703) 272-5000.

Contact Information

Primary practice address
25055 Riding Plz Ste 260 Chantilly VA 20152-5922
Phone: (703) 272-5000
Fax: (703) 957-3804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 0101274225 Virginia

Profile Details

NPI number 1912432022
LBN Legal business name Underwood, James Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2017
Last updated Nov 17th, 2022 - about 3 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 1912432022 NPPES
Virginia Other 0101274225 LICENSE

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