Eblan, Michael Joseph
Eblan, Michael Joseph is an individual health care provider with primary practice located at 8081 Innovation Park Dr , Fairfax VA 22031-4867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Eblan, Michael Joseph can be contacted via phone (571) 472-0606.Contact Information
Primary practice address
8081 Innovation Park Dr
Fairfax VA 22031-4867
Phone: (571) 472-0606
Fax: (571) 472-0540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 0101260437 | Virginia |
Profile Details
| NPI number | 1962795773 |
|---|---|
| LBN Legal business name | Eblan, Michael Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2011 |
| Last updated | Jul 10th, 2019 - about 7 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 | 1962795773 | NPPES |
| Virginia | MEDICAID | 1962795773 |
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