Crater Child Development Clinic

LBN: Crater Child Development Clinic
Crater Child Development Clinic is an health care organization with primary practice located at 2002 Wakefield Street , Petersburg VA 23805-2112. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Crater Child Development Clinic can be contacted via phone (804) 862-6186, or through Royster, Michael Owen via phone (804) 863-1663.

Contact Information

Primary practice address
2002 Wakefield Street Petersburg VA 23805-2112
Phone: (804) 862-6186
Fax: (804) 862-6276
Website:
Map and Directions
Authorized official contact:
Name: Royster, Michael Owen Doctor of Medicine (MD)
Phone: (804) 863-1663

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X Virginia

Profile Details

NPI number 1164468823
LBN Legal business name Crater Child Development Clinic
DBA Doing business as
Authorized official Royster, Michael Owen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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