Henry, Ian Jacob

Henry, Ian Jacob is an individual health care provider with primary practice located at 1850 Town Center Pkwy , Reston VA 20190-3298. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Henry, Ian Jacob can be contacted via phone (703) 689-9000.

Contact Information

Primary practice address
1850 Town Center Pkwy Reston VA 20190-3298
Phone: (703) 689-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1043971047
LBN Legal business name Henry, Ian Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2022
Last updated Jun 24th, 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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