Wyman, Mary Jane
Wyman, Mary Jane is an individual health care provider with primary practice located at 14450 Smoketown Rd , Woodbridge VA 22192-4712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wyman, Mary Jane can be contacted via phone (703) 576-1401.Contact Information
Primary practice address
14450 Smoketown Rd
Woodbridge VA 22192-4712
Phone: (703) 576-1401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00025813 | Washington |
Profile Details
| NPI number | 1568432276 |
|---|---|
| LBN Legal business name | Wyman, Mary Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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