Gatewood, Edwin Edison
Gatewood, Edwin Edison is an individual health care provider with primary practice located at 825 Fairfax Ave Suite 710, Norfolk VA 23507-1914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gatewood, Edwin Edison can be contacted via phone (757) 446-5888.Contact Information
Primary practice address
825 Fairfax Ave Suite 710
Norfolk VA 23507-1914
Phone: (757) 446-5888
Fax: (757) 446-5918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101054731 | Virginia |
Profile Details
| NPI number | 1265406144 |
|---|---|
| LBN Legal business name | Gatewood, Edwin Edison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Oct 22nd, 2020 - about 4 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 | 1265406144 | NPPES |
| Virginia | Other | 283237 | ANTHEM |
| Virginia | Other | -006 | ANTHEM |
| Virginia | MEDICAID | 007110600 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | 0520K | ANTHEM |
| Virginia | Other | 155139 | ANTHEM |
| Virginia | Other | 209852 | ANTHEM |
| Virginia | Other | 263582 | ANTHEM |
| Virginia | MEDICAID | 690520K | ANTHEM |
| Virginia | Other | 89030 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | 120503 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
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