Van Oeveren, Edward Lanier
Van Oeveren, Edward Lanier is an individual health care provider with primary practice located at 3304 Patrick Henry Dr , Falls Church VA 22044-1514. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Van Oeveren, Edward Lanier can be contacted via phone (703) 532-5142.Contact Information
Primary practice address
3304 Patrick Henry Dr
Falls Church VA 22044-1514
Phone: (703) 532-5142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 0101056295 | Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101056295 | Virginia |
Profile Details
| NPI number | 1891750956 |
|---|---|
| LBN Legal business name | Van Oeveren, Edward Lanier |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Feb 17th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891750956 | NPPES |
| Virginia | MEDICAID | 004975138 | |
| Virginia | MEDICAID | 004975596 | |
| Virginia | MEDICAID | 004975821 |
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