Michael J Porvaznik
Neuromusculoskeletal Medicine (NMM)
4910 31st St S Suite A
Arlington
, Virginia 22206-1656
Michael J Porvaznik
Neuromusculoskeletal Medicine (NMM)
4910 31st St S Suite A
Arlington
, Virginia 22206-1656
(703) 931-0895
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Michael J Porvaznik
- 4910 A South 31 Street
- Arlington, VA
- Zip : 22206
- Fax : (703) 931-0895
- Phone : (703) 931-7173
Second Address
- Michael J Porvaznik
- 4910 31st St S Suite A
- Arlington, VA
- Zip : 22206-1656
- Fax : (703) 931-0895
- Phone : (703) 931-7173
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 0102037022 | VA |
National Provider Identifier
| NPI | 1588782213 |
|---|---|
| Provider Name | Michael J Porvaznik |
| First Address | Arlington, VA 22206 |
| Second Address | Arlington, VA 22206-1656 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0102037022 | VIRGINIA LICENSE # (01) | VA |
| E11780 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.