Individual
JACOB PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11335 SUNSET HILLS RD, RESTON, VA 20190-5205
(703) 348-7857
(703) 444-4308
Mailing address
PO BOX 1048, GREAT FALLS, VA 22066-9048
(703) 348-7857
(703) 444-4308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
133N00000X
Nutritionist
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us