Breckenridge, Jamielou Custodio
Breckenridge, Jamielou Custodio is an individual health care provider with primary practice located at 9300 Dewitt Loop , Fort Belvoir VA 22060-5285. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Breckenridge, Jamielou Custodio can be contacted via phone (571) 231-3224.Contact Information
Primary practice address
9300 Dewitt Loop
Fort Belvoir VA 22060-5285
Phone: (571) 231-3224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101276676 | Virginia |
Profile Details
| NPI number | 1679010896 |
|---|---|
| LBN Legal business name | Breckenridge, Jamielou Custodio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2017 |
| Last updated | Apr 24th, 2024 - about 2 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.
Popular Providers
-
Merritt, Clay M
9300 Dewitt Loop Attn: General Surgery Department / Rm S2.150, Fort Belvoir VA 22060-5285 -
Dunham, Michael Rennel
9501 Farrell Rd , Fort Belvoir VA 22060-5901 -
Lee, Earl Hahn
9300 Dewitt Loop Fbch, Department Of General Surgery, Fort Belvoir VA 22060 -
Cindass, Jessica Lynn
9300 Dewitt Loop , Fort Belvoir VA 22060-5285 -
Ryan, Gayle Blanchard
9501 Farrell Rd , Fort Belvoir VA 22060-5901 -
Maben, Robert E
575 S 70Th St Ste 310, Lincoln NE 68510-2471 -
White, Patrick W.
5700 Monroe St Unit 101 , Sylvania OH 43560-2779 -
Viera, Jennifer L
9300 Dewitt Loop , Fort Belvoir VA 22060-5285