Easley, Myles Lamont

Easley, Myles Lamont is an individual health care provider with primary practice located at 583 Southlake Blvd Ste B , North Chesterfield VA 23236-3096. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Easley, Myles Lamont can be contacted via phone (804) 594-6142.

Contact Information

Primary practice address
583 Southlake Blvd Ste B North Chesterfield VA 23236-3096
Phone: (804) 594-6142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1679839021
LBN Legal business name Easley, Myles Lamont
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2012
Last updated Jan 26th, 2018 - about 6 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 1679839021 NPPES
Virginia MEDICAID 174502029

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