Ravussin, Jeremy

Ravussin, Jeremy is an individual health care provider with primary practice located at 611 Watkins Centre Pkwy Suite 250, Midlothian VA 23114-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ravussin, Jeremy can be contacted via phone (804) 423-8470.

Contact Information

Primary practice address
611 Watkins Centre Pkwy Suite 250 Midlothian VA 23114-4404
Phone: (804) 423-8470
Fax: (804) 423-8471
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101257793 Virginia

Profile Details

NPI number 1669747903
LBN Legal business name Ravussin, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Jan 15th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669747903 NPPES
Virginia Other C09633 GROUP PTAN

Popular Providers