Ross, Douglas Jay

Ross, Douglas Jay is an individual health care provider with primary practice located at 351 Edwin Drive Suite 102, Virginia Beach VA 23462. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ross, Douglas Jay can be contacted via phone (757) 499-5550.

Contact Information

Primary practice address
351 Edwin Drive Suite 102 Virginia Beach VA 23462
Phone: (757) 499-5550
Fax: (757) 473-0919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110840456 Virginia

Profile Details

NPI number 1255329900
LBN Legal business name Ross, Douglas Jay
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated May 24th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255329900 NPPES
Virginia MEDICAID 1255329900

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