Deadmon, Dwight
Deadmon, Dwight is an individual health care provider with primary practice located at 1401 Johnston Willis Dr , North Chesterfield VA 23235-4730. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Deadmon, Dwight can be contacted via phone (804) 483-6111.Contact Information
Primary practice address
1401 Johnston Willis Dr
North Chesterfield VA 23235-4730
Phone: (804) 483-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 0136000002 | Virginia |
Profile Details
| NPI number | 1639830714 |
|---|---|
| LBN Legal business name | Deadmon, Dwight |
| Credentials | SA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 1st, 2022 |
| Last updated | Jan 1st, 2022 - about 2 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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