Inocalla, Marilou V
Inocalla, Marilou V is an individual health care provider with primary practice located at 770 W Ridge Rd , Wytheville VA 24382-1046. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Inocalla, Marilou V can be contacted via phone (276) 223-3200.Contact Information
Primary practice address
770 W Ridge Rd
Wytheville VA 24382-1046
Phone: (276) 223-3200
Fax: (276) 223-0617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 0101048106 | Virginia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 010148106 | Virginia |
Profile Details
| NPI number | 1932163375 |
|---|---|
| LBN Legal business name | Inocalla, Marilou V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Sep 18th, 2013 - about 11 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 | 1932163375 | NPPES |
| Virginia | MEDICAID | 004945298 | |
| Virginia | Other | 166785 | |
| Virginia | Other | 280114 | |
| Virginia | Other | 280116 | |
| Virginia | Other | 247755000 | |
| Virginia | Other | 260023506 | |
| Virginia | Other | 280113 | |
| Virginia | Other | 139018 |
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