Queen, Jay Brian
Queen, Jay Brian is an individual health care provider with primary practice located at 102 Elden St Suite 20, Herndon VA 20170-4868. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Queen, Jay Brian can be contacted via phone (703) 689-2480.Contact Information
Primary practice address
102 Elden St Suite 20
Herndon VA 20170-4868
Phone: (703) 689-2480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 401007661 | Virginia |
Profile Details
| NPI number | 1801291521 |
|---|---|
| LBN Legal business name | Queen, Jay Brian |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2014 |
| Last updated | Oct 23rd, 2014 - about 12 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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