Wertz, Jessica

Wertz, Jessica is an individual health care provider with primary practice located at 8501 Arlington Blvd Ste 200 , Fairfax VA 22031-4625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Wertz, Jessica can be contacted via phone (703) 204-2626.

Contact Information

Primary practice address
8501 Arlington Blvd Ste 200 Fairfax VA 22031-4625
Phone: (703) 204-2626
Fax: (703) 205-7324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X H0076278 Maryland
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0102204185 Virginia

Profile Details

NPI number 1104080050
LBN Legal business name Wertz, Jessica
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104080050 NPPES
Maryland MEDICAID 068733200

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