Bacak, Velma A

Bacak, Velma A is an individual health care provider with primary practice located at 3300 Academy Ave Academy Crossing Medical Plaza, Portsmouth VA 23703-3205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Bacak, Velma A can be contacted via phone (757) 483-6404.

Contact Information

Primary practice address
3300 Academy Ave Academy Crossing Medical Plaza Portsmouth VA 23703-3205
Fax: (757) 483-0737
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X Virginia

Profile Details

NPI number 1104819234
LBN Legal business name Bacak, Velma A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 18 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 1104819234 NPPES
Virginia Other 080942 SENTARA
Virginia Other 330771 SENTARA

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