Leister, Maureen Kirby
Leister, Maureen Kirby is an individual health care provider with primary practice located at 230 South Crater Rd , Petersburg VA 23803-4424. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Leister, Maureen Kirby can be contacted via phone (804) 733-2180.Contact Information
Primary practice address
230 South Crater Rd
Petersburg VA 23803-4424
Phone: (804) 733-2180
Fax: (804) 733-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002686 | Virginia |
Profile Details
| NPI number | 1447323167 |
|---|---|
| LBN Legal business name | Leister, Maureen Kirby |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447323167 | NPPES |
| Virginia | Other | 262826 | ANTHEM BLUE CROSS BLUE SH |
| Virginia | Other | 089394 | ANTHEM BLUE CROSS BLUE SH |
| Virginia | Other | 3033951 | ANTHEM BLUE CROSS BLUE SH |
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