Avance, David M.

Avance, David M. is an individual health care provider with primary practice located at 202 Agee St , Farmville VA 23901-2617. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Avance, David M. can be contacted via phone (434) 392-6143.

Contact Information

Primary practice address
202 Agee St Farmville VA 23901-2617
Phone: (434) 392-6143
Fax: (434) 392-3866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110840639 Virginia

Profile Details

NPI number 1952387748
LBN Legal business name Avance, David M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Aug 27th, 2013 - about 11 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 1952387748 NPPES
Other 203639329 TRICARE PROVIDER NUMBER
Other 10002776P TRICARE PROVIDER NUMBER
MEDICAID 010223067 TRICARE PROVIDER NUMBER

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