Derwae, Amanda
Derwae, Amanda is an individual health care provider with primary practice located at 10680 Main St Ste 200 , Fairfax VA 22030-3810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Derwae, Amanda can be contacted via phone (703) 352-2620.Contact Information
Primary practice address
10680 Main St Ste 200
Fairfax VA 22030-3810
Phone: (703) 352-2620
Fax: (703) 352-2620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 27508 | Nebraska |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101280445 | Virginia |
Profile Details
| NPI number | 1164796942 |
|---|---|
| LBN Legal business name | Derwae, Amanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2012 |
| Last updated | May 8th, 2024 - about last year |
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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