Headley, Michelle E

Headley, Michelle E is an individual health care provider with primary practice located at 7001 Forest Ave Ste 302 , Richmond VA 23230-1726. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Headley, Michelle E can be contacted via phone (804) 282-2655.

Contact Information

Primary practice address
7001 Forest Ave Ste 302 Richmond VA 23230-1726
Fax: (804) 282-0676
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101051265 Virginia

Profile Details

NPI number 1760457600
LBN Legal business name Headley, Michelle E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 17th, 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 1760457600 NPPES
Virginia MEDICAID 5834490

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