Knudson, Homer E

Knudson, Homer E is an sole proprietor health care provider with primary practice located at 8308 Old Courthouse Rd Suite A, Vienna VA 22182-3863. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Knudson, Homer E can be contacted via phone (703) 790-9440.

Contact Information

Primary practice address
8308 Old Courthouse Rd Suite A Vienna VA 22182-3863
Phone: (703) 790-9440
Fax: (703) 790-5359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23301 Virginia

Profile Details

NPI number 1285666891
LBN Legal business name Knudson, Homer E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1285666891 NPPES
Virginia Other 4087376 AETNA PPO
Virginia Other 07-00455 AETNA PPO
Virginia Other 088399 AETNA PPO
Virginia Other 0785845 AETNA PPO
Virginia Other 10316 AETNA PPO
Virginia Other 4087 AETNA PPO
Virginia MEDICAID 6260730 AETNA PPO
Virginia Other 99214 AETNA PPO
Virginia Other 1463350004 AETNA PPO
Virginia Other 4087 AETNA PPO
Virginia Other 27007 AETNA PPO

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