Jones, Samuel Moseley

Jones, Samuel Moseley is an individual health care provider with primary practice located at 3650 Joseph Siewick Dr Ste 400, Fairfax VA 22033-1710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jones, Samuel Moseley can be contacted via phone (703) 391-2020.

Contact Information

Primary practice address
3650 Joseph Siewick Dr Ste 400 Fairfax VA 22033-1710
Phone: (703) 391-2020
Fax: (703) 391-1211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101039402 Virginia

Profile Details

NPI number 1215921762
LBN Legal business name Jones, Samuel Moseley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Nov 27th, 2023 - about 3 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 1215921762 NPPES
Virginia MEDICAID 05624606
Virginia Other 080183206

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