Chmielewski, Paul

Chmielewski, Paul is an individual health care provider with primary practice located at 12 Fairfax St Se , Leesburg VA 20175-3616. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chmielewski, Paul can be contacted via phone (703) 777-1299.

Contact Information

Primary practice address
12 Fairfax St Se Leesburg VA 20175-3616
Fax: (703) 777-5645
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001354 Virginia

Profile Details

NPI number 1801896402
LBN Legal business name Chmielewski, Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jan 29th, 2010 - about 16 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 1801896402 NPPES
Virginia MEDICAID 010015448

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