Keverline, Michael Raymond
Keverline, Michael Raymond is an sole proprietor health care provider with primary practice located at 3206 Churchland Blvd , Chesapeake VA 23321-5206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Keverline, Michael Raymond can be contacted via phone (757) 484-0101.Contact Information
Primary practice address
3206 Churchland Blvd
Chesapeake VA 23321-5206
Phone: (757) 484-0101
Fax: (757) 484-0515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101230614 | Virginia |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 7010360 | Virginia |
Profile Details
| NPI number | 1962401612 |
|---|---|
| LBN Legal business name | Keverline, Michael Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| Last updated | May 8th, 2008 - about 16 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 | 1962401612 | NPPES |
| North Carolina | MEDICAID | 8906674 | |
| North Carolina | MEDICAID | 010080371 | |
| North Carolina | Other | 4773409 | |
| North Carolina | Other | 29717 | |
| North Carolina | Other | 102064 | |
| North Carolina | Other | 2174956 | |
| North Carolina | Other | 399105 | |
| North Carolina | Other | 7827286 |
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