Beverly, Vernis L.
Beverly, Vernis L. is an individual health care provider with primary practice located at 3800 Poplar Hill Rd Ste A , Chesapeake VA 23321-5522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Beverly, Vernis L. can be contacted via phone (757) 484-2001.Contact Information
Primary practice address
3800 Poplar Hill Rd Ste A
Chesapeake VA 23321-5522
Phone: (757) 484-2001
Fax: (757) 484-2182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101224920 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101224920 | Virginia |
Profile Details
| NPI number | 1508821174 |
|---|---|
| LBN Legal business name | Beverly, Vernis L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Feb 11th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508821174 | NPPES |
| Virginia | MEDICAID | 010060133 | |
| Virginia | MEDICAID | 010003202 | |
| Virginia | MEDICAID | 010060169 | |
| Virginia | Other | C09064 |
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