Emergency Physician Of Tidewater

LBN: Emergency Physician Of Tidewater
Emergency Physician Of Tidewater is an health care organization with primary practice located at 4092 Foxwood Dr Suite 101, Virginia Beach VA 23462-5225. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Emergency Physician Of Tidewater can be contacted via phone (757) 467-4200, or through Keklik, Aksel via phone (757) 410-8879.

Contact Information

Primary practice address
4092 Foxwood Dr Suite 101 Virginia Beach VA 23462-5225
Phone: (757) 467-4200
Fax: (757) 467-4173
Website:
Map and Directions
Authorized official contact:
Name: Keklik, Aksel Physician's Assistant Certified (PA-C)
Phone: (757) 410-8879

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 0110001528 Virginia

Profile Details

NPI number 1851488167
LBN Legal business name Emergency Physician Of Tidewater
DBA Doing business as
Authorized official Keklik, Aksel Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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