Laine, Fred J

Laine, Fred J is an individual health care provider with primary practice located at 2602 Buford Rd , Richmond VA 23235-3422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Laine, Fred J can be contacted via phone (804) 272-8806.

Contact Information

Primary practice address
2602 Buford Rd Richmond VA 23235-3422
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X Virginia

Profile Details

NPI number 1508811670
LBN Legal business name Laine, Fred J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1508811670 NPPES
Virginia MEDICAID 7212160

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