Entin, Alan David
Entin, Alan David is an sole proprietor health care provider with primary practice located at 1805 Monument Ave Ste 510 , Richmond VA 23220-7005. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Entin, Alan David can be contacted via phone (804) 359-0109.Contact Information
Primary practice address
1805 Monument Ave Ste 510
Richmond VA 23220-7005
Phone: (804) 359-0109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810000606 | Virginia |
Profile Details
| NPI number | 1740408343 |
|---|---|
| LBN Legal business name | Entin, Alan David |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1740408343 | NPPES |
| Virginia | MEDICAID | 7712952 |
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