Tremols, Guillermo Antonio

Tremols, Guillermo Antonio is an individual health care provider with primary practice located at 1712 Clubhouse Road Suite 101, Reston VA 20190-4595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tremols, Guillermo Antonio can be contacted via phone (703) 471-5770.

Contact Information

Primary practice address
1712 Clubhouse Road Suite 101 Reston VA 20190-4595
Phone: (703) 471-5770
Fax: (703) 471-5770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101020286 Virginia

Profile Details

NPI number 1407806300
LBN Legal business name Tremols, Guillermo Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1407806300 NPPES
Virginia MEDICAID 6720200

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