Mozena, Jonathan Daniel
Mozena, Jonathan Daniel is an individual health care provider with primary practice located at 511 Park Hill Drive , Fredericksburg VA 22401-3377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Mozena, Jonathan Daniel can be contacted via phone (540) 371-5660.Contact Information
Primary practice address
511 Park Hill Drive
Fredericksburg VA 22401-3377
Phone: (540) 371-5660
Fax: (540) 372-6920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 0101239028 | Virginia |
Profile Details
| NPI number | 1093757163 |
|---|---|
| LBN Legal business name | Mozena, Jonathan Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Oct 31st, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093757163 | NPPES |
| Virginia | Other | 014630A38 | MEDICARE PTAN |
| Virginia | MEDICAID | 1093757163 | MEDICARE PTAN |
Popular Providers
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Kim, Andrew
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