Bousselot, Jeremy

Bousselot, Jeremy is an sole proprietor health care provider with primary practice located at 1701 N George Mason Dr , Arlington VA 22205-3610. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bousselot, Jeremy can be contacted via phone (703) 717-4400.

Contact Information

Primary practice address
1701 N George Mason Dr Arlington VA 22205-3610
Phone: (703) 717-4400
Fax: (703) 717-4401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101255360 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101255360 Virginia

Profile Details

NPI number 1558660811
LBN Legal business name Bousselot, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2011
Last updated Mar 28th, 2022 - 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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