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
Phone: (757) 397-1201
Fax: (757) 398-0809
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275535429 | NPPES |
Virginia | MEDICAID | 006436421 |
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