Dudley, David Watson

Dudley, David Watson is an individual health care provider with primary practice located at 300 Medical Dr 2Nd Floor, Hampton VA 23666-1765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dudley, David Watson can be contacted via phone (757) 788-0201.

Contact Information

Primary practice address
300 Medical Dr 2Nd Floor Hampton VA 23666-1765
Fax: (757) 788-0950
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101051036 Virginia

Profile Details

NPI number 1275523698
LBN Legal business name Dudley, David Watson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Feb 19th, 2008 - about 16 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 1275523698 NPPES
Virginia MEDICAID 1659424448

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