Compton, Tina Michelle

Compton, Tina Michelle is an individual health care provider with primary practice located at Rt 5 Bgh Prof Bldg Suite 101, Grundy VA 24614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Compton, Tina Michelle can be contacted via phone (276) 935-2080.

Contact Information

Primary practice address
Rt 5 Bgh Prof Bldg Suite 101 Grundy VA 24614
Fax: (276) 935-2082
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0024000072 Virginia

Profile Details

NPI number 1700940327
LBN Legal business name Compton, Tina Michelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
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 1700940327 NPPES
Kentucky MEDICAID 78006293
Kentucky MEDICAID 7107503000

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