Bundy, Joel T
Bundy, Joel T is an individual health care provider with primary practice located at 745 Battlefield Blvd N , Chesapeake VA 23320-0305. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Bundy, Joel T can be contacted via phone (757) 623-0005.Contact Information
Primary practice address
745 Battlefield Blvd N
Chesapeake VA 23320-0305
Phone: (757) 623-0005
Fax: (757) 410-7349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 010149860 | Virginia |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 0101049860 | Virginia |
| Other Service Providers / Specialist | 174400000X | 9901131 | North Carolina |
Profile Details
| NPI number | 1932105517 |
|---|---|
| LBN Legal business name | Bundy, Joel T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Apr 16th, 2012 - about 12 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 | 1932105517 | NPPES |
| North Carolina | Other | 2023717 | MEDICARE |
| North Carolina | MEDICAID | 006098100 | MEDICARE |
| North Carolina | Other | 541371648 | MEDICARE |
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