Provider Type Icon

PREMISE HEALTH OF VIRGINIA MEDICAL P.C NPI 1356932701


NPI Information

NPI: 1356932701
Provider Name: PREMISE HEALTH OF VIRGINIA MEDICAL, P.C

Doing Business As: BAE SYSTEMS MANASSAS VA

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
9300 WELLINGTON RD
MANASSAS, VA
ZIP 20110
Phone: (571) 364-7618
Get Directions

PREMISE HEALTH OF VIRGINIA MEDICAL, P.C is an occupational medicine clinic center in Manassas, VA. PREMISE HEALTH OF VIRGINIA MEDICAL, P.C NPI is 1356932701. The provider is registered as an organization entity type.
The provider Is Doing Business As Bae Systems Manassas Va.

The provider's business location address is:

9300 WELLINGTON RD
MANASSAS, VA
ZIP 20110-122
Phone: (571) 364-7618
Fax: (571) 364-6201

The provider's authorized official is Jonathan B Leizman .
The authorized official title is President and has the following contact phone number (844) 407-7557.

The enumeration date for this NPI number is 1/28/2021 and was last updated on 8/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QX0100XClinic/CenterOccupational MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.