Jeffrey Robert Geiser, IDC

Individual provider Active NPI Independent Duty Corpsman · Quantico, VA

NPI 1851587166 · NPPES record last updated Sep 20, 2007

Key facts

NPI
1851587166
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
3259 Catlin Ave
Quantico, VA 22134-5109
Phone
(703) 784-2062
NPI assigned
Sep 20, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

3259 Catlin Ave
Quantico, VA 22134-5109

Mailing address

3259 Catlin Ave
Quantico, VA 22134-5109

Other providers in Quantico, VA

All providers in Quantico, VA · Independent Duty Corpsman in Virginia

Sources for this page

Verify at the official NPI Registry.