Fishburne, Harriette B

Fishburne, Harriette B is an individual health care provider with primary practice located at 7363 Walker Ave , Gloucester VA 23061-6119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fishburne, Harriette B can be contacted via phone (804) 695-0305.

Contact Information

Primary practice address
7363 Walker Ave Gloucester VA 23061-6119
Phone: (804) 695-0305
Fax: (804) 695-0804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101051043 Virginia

Profile Details

NPI number 1023000346
LBN Legal business name Fishburne, Harriette B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Dec 10th, 2012 - about 12 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 1023000346 NPPES
Virginia MEDICAID 1023000346

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