Mahoney, Robert K
Mahoney, Robert K is an sole proprietor health care provider with primary practice located at Nmcp, Portsmouth 620 John Paul Jones Circle, Portsmouth VA 23703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mahoney, Robert K can be contacted via phone (757) 953-6366.Contact Information
Primary practice address
Nmcp, Portsmouth 620 John Paul Jones Circle
Portsmouth VA 23703
Phone: (757) 953-6366
Fax: (757) 953-6378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101042244 | Virginia |
Profile Details
| NPI number | 1740255066 |
|---|---|
| LBN Legal business name | Mahoney, Robert K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Aug 22nd, 2023 - about 2 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 | 1740255066 | NPPES |
| Virginia | MEDICAID | 0056101100 |
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