Duane, William J

Duane, William J is an individual health care provider with primary practice located at 4041 Taylor Rd Ste G , Chesapeake VA 23321-5525. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Duane, William J can be contacted via phone (757) 483-6404.

Contact Information

Primary practice address
4041 Taylor Rd Ste G Chesapeake VA 23321-5525
Phone: (757) 483-6404
Fax: (757) 483-0737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000926 Virginia

Profile Details

NPI number 1003809500
LBN Legal business name Duane, William J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Nov 7th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003809500 NPPES
Virginia MEDICAID 007799187
Virginia Other 027830
Virginia Other 080704

Popular Providers