Wish, Marc
Wish, Marc is an individual health care provider with primary practice located at 3020 Hamaker Ct Suite 101, Fairfax VA 22031-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Wish, Marc can be contacted via phone (703) 289-9400.Contact Information
Primary practice address
3020 Hamaker Ct Suite 101
Fairfax VA 22031-2238
Phone: (703) 289-9400
Fax: (703) 289-9404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 0101034890 | Virginia |
Profile Details
| NPI number | 1508835703 |
|---|---|
| LBN Legal business name | Wish, Marc |
| Credentials | M.D., FACC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1508835703 | NPPES |
| Virginia | MEDICAID | 006074286 |
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