Advanced Family Practice

LBN: Advanced Family Practice
Advanced Family Practice is an health care organization with primary practice located at 11453 Abbots Cross Ln , Glen Allen VA 23059-1102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Advanced Family Practice can be contacted via phone (804) 347-4357, or through Clark, David Anthony via phone (804) 347-4357.

Contact Information

Primary practice address
11453 Abbots Cross Ln Glen Allen VA 23059-1102
Fax:
Website:
Authorized official contact:
Name: Clark, David Anthony Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101032223 Virginia

Profile Details

NPI number 1881792661
LBN Legal business name Advanced Family Practice
DBA Doing business as
Authorized official Clark, David Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 8th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881792661 NPPES
Virginia MEDICAID 005647134

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