Jelen, Garry Carroll

Jelen, Garry Carroll is an individual health care provider with primary practice located at 45155 Research Pl Suite 140, Ashburn VA 20147-4191. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jelen, Garry Carroll can be contacted via phone (703) 858-0500.

Contact Information

Primary practice address
45155 Research Pl Suite 140 Ashburn VA 20147-4191
Phone: (703) 858-0500
Fax: (703) 858-5155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004520 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C05299 Maryland

Profile Details

NPI number 1619249950
LBN Legal business name Jelen, Garry Carroll
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2012
Last updated Jun 2nd, 2014 - about 12 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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