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
Phone: (276) 935-2080
Fax: (276) 935-2082
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700940327 | NPPES |
Kentucky | MEDICAID | 78006293 | |
Kentucky | MEDICAID | 7107503000 |
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