Bevilacqua, Anthony Michael

Bevilacqua, Anthony Michael is an individual health care provider with primary practice located at 150 Burnetts Way Ste. 100, Suffolk VA 23434-8168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bevilacqua, Anthony Michael can be contacted via phone (757) 547-5145.

Contact Information

Primary practice address
150 Burnetts Way Ste. 100 Suffolk VA 23434-8168
Phone: (757) 547-5145
Fax: (757) 539-7488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2019-02810 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0102037163 Virginia

Profile Details

NPI number 1912903998
LBN Legal business name Bevilacqua, Anthony Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 25th, 2024 - about 7 months 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 1912903998 NPPES
Virginia MEDICAID 010163005

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