Atienza, Vergel S

Atienza, Vergel S is an individual health care provider with primary practice located at 390 S Main St Suite 201, Rocky Mount VA 24151-1711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Atienza, Vergel S can be contacted via phone (540) 484-4800.

Contact Information

Primary practice address
390 S Main St Suite 201 Rocky Mount VA 24151-1711
Phone: (540) 484-4800
Fax: (540) 484-4862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101-050995 Virginia

Profile Details

NPI number 1417931353
LBN Legal business name Atienza, Vergel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Aug 11th, 2011 - about 15 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 1417931353 NPPES
Virginia MEDICAID 005618703
Virginia MEDICAID 005621453
Virginia Other 453496

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