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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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