Agnew, Patrick S.

Agnew, Patrick S. is an individual health care provider with primary practice located at 6477 College Park Sq Suite 106, Virginia Beach VA 23464-3611. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Agnew, Patrick S. can be contacted via phone (757) 523-0414.

Contact Information

Primary practice address
6477 College Park Sq Suite 106 Virginia Beach VA 23464-3611
Phone: (757) 523-0414
Fax: (757) 523-2047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103000759 Virginia

Profile Details

NPI number 1265420756
LBN Legal business name Agnew, Patrick S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Oct 2nd, 2008 - about 17 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 1265420756 NPPES
Virginia MEDICAID 009303278

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