Grzelak, Doreen Faye

Grzelak, Doreen Faye is an individual health care provider with primary practice located at 44035 Riverside Pkwy Ste 300 , Leesburg VA 20176-8260. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Grzelak, Doreen Faye can be contacted via phone (703) 554-6800.

Contact Information

Primary practice address
44035 Riverside Pkwy Ste 300 Leesburg VA 20176-8260
Phone: (703) 554-6800
Fax: (703) 724-7503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024168894 Virginia

Profile Details

NPI number 1316241854
LBN Legal business name Grzelak, Doreen Faye
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2010
Last updated Oct 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316241854 NPPES
District of Columbia Other 489421ZAN3 MEDICARE PTAN
District of Columbia MEDICAID 1316241854 MEDICARE PTAN
District of Columbia Other VVY852A MEDICARE PTAN

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