Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0101262523 | VA |
NPI | 1396031142 |
---|---|
Provider Name | Dr. Oliver Nikolaas Schipper |
First Address | Arlington, VA 22206-2905 |
Second Address | Arlington, VA 22206-2905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2011 |
Last Update Date | 17/03/2018 |