Durica, David Lewis

Durica, David Lewis is an individual health care provider with primary practice located at 2929 London Blvd , Portsmouth VA 23707-3405. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Durica, David Lewis can be contacted via phone (757) 397-1201.

Contact Information

Primary practice address
2929 London Blvd Portsmouth VA 23707-3405
Fax: (757) 398-0809
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101021505 Virginia

Profile Details

NPI number 1275535429
LBN Legal business name Durica, David Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Aug 7th, 2008 - about 17 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 1275535429 NPPES
Virginia MEDICAID 006436421

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