Madison, Asena L
Madison, Asena L is an individual health care provider with primary practice located at 9549 Amberdale Dr , North Chesterfield VA 23236-1256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Madison, Asena L can be contacted via phone (804) 362-7372.Contact Information
Primary practice address
9549 Amberdale Dr
North Chesterfield VA 23236-1256
Phone: (804) 362-7372
Fax: (866) 834-5648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0116022450 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101251657 | Virginia |
Profile Details
| NPI number | 1801117122 |
|---|---|
| LBN Legal business name | Madison, Asena L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2010 |
| Last updated | Oct 10th, 2021 - about 3 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 | 1801117122 | NPPES |
| Virginia | Other | I723 | GROUP PTAN |
| Virginia | MEDICAID | 1801117122 | GROUP PTAN |
| Virginia | MEDICAID | 1972654929 | GROUP PTAN |
| Virginia | Other | 1548732936 | GROUP PTAN |
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