Adam, Ender Ali
Adam, Ender Ali is an individual health care provider with primary practice located at 8350 Traford Ln , Springfield VA 22152-1638. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Adam, Ender Ali can be contacted via phone (703) 569-6363.Contact Information
Primary practice address
8350 Traford Ln
Springfield VA 22152-1638
Phone: (703) 569-6363
Fax: (703) 569-3536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000251 | Virginia |
Profile Details
| NPI number | 1235193806 |
|---|---|
| LBN Legal business name | Adam, Ender Ali |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235193806 | NPPES |
| Virginia | MEDICAID | 9234446 |
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