Segall, Errol

Segall, Errol is an individual health care provider with primary practice located at 8500 Executive Park Ave Suite 200, Fairfax VA 22031-2225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Segall, Errol can be contacted via phone (703) 698-5220.

Contact Information

Primary practice address
8500 Executive Park Ave Suite 200 Fairfax VA 22031-2225
Phone: (703) 698-5220
Fax: (703) 573-2351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101031662 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0042679 Maryland

Profile Details

NPI number 1407855190
LBN Legal business name Segall, Errol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Nov 10th, 2011 - about 15 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 1407855190 NPPES
Virginia Other 513455 NCPPO
Virginia Other 032028 NCPPO
Virginia Other 520045 NCPPO
Virginia MEDICAID 403200400 NCPPO
Virginia Other 4137282 NCPPO
Virginia Other 0001 NCPPO
Virginia Other 110142-000 NCPPO
Virginia Other 153479 NCPPO

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