Abernathy, Ted Roger

Abernathy, Ted Roger is an individual health care provider with primary practice located at 13821 Village Mill Dr , Midlothian VA 23114-4365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Abernathy, Ted Roger can be contacted via phone (804) 794-2821.

Contact Information

Primary practice address
13821 Village Mill Dr Midlothian VA 23114-4365
Phone: (804) 794-2821
Fax: (804) 794-4072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101020981 Virginia

Profile Details

NPI number 1538175690
LBN Legal business name Abernathy, Ted Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 5th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538175690 NPPES
Virginia MEDICAID 006703631

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