Individual
DR. JON MICHAEL ADLEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 INNOVATION DR, STE 101, CHESAPEAKE, VA 23320-3866
(757) 436-0011
(757) 436-0075
Mailing address
516 INNOVATION DR, STE 101, CHESAPEAKE, VA 23320-3866
(757) 436-0011
(757) 436-0075
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101056722
VA
174400000X
Specialist
9800004
NC
207W00000X
Ophthalmology Physician
0101056722
VA
207W00000X
Ophthalmology Physician
9800004
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0101056722
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
9800004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006309895
—
VA
Enumeration date
06/13/2005
Last updated
05/15/2017
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