Pedicano, Jennifer Bischoff
Pedicano, Jennifer Bischoff is an individual health care provider with primary practice located at 100 Elden St Ste 10 , Herndon VA 20170-4833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Pedicano, Jennifer Bischoff can be contacted via phone (703) 689-2000.Contact Information
Primary practice address
100 Elden St Ste 10
Herndon VA 20170-4833
Phone: (703) 689-2000
Fax: (703) 478-6612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 0101246807 | Virginia |
Profile Details
| NPI number | 1568638229 |
|---|---|
| LBN Legal business name | Pedicano, Jennifer Bischoff |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2008 |
| Last updated | Apr 18th, 2024 - 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 | 1568638229 | NPPES |
| Virginia | MEDICAID | 1568638229 | |
| Virginia | Other | 6M5932 |
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