Oshirak, Kimberly Tyler
Oshirak, Kimberly Tyler is an individual health care provider with primary practice located at 9001 Digges Road Suite 106, Manassas VA 20110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Oshirak, Kimberly Tyler can be contacted via phone (703) 392-5437.Contact Information
Primary practice address
9001 Digges Road Suite 106
Manassas VA 20110
Phone: (703) 392-5437
Fax: (703) 392-0176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101102698 | Virginia |
Profile Details
| NPI number | 1699032904 |
|---|---|
| LBN Legal business name | Oshirak, Kimberly Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2012 |
| Last updated | Jan 9th, 2013 - about 13 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 | 1699032904 | NPPES |
| Virginia | MEDICAID | 1699032904 |
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