Massenberg, Malcolm Lavaughan
Massenberg, Malcolm Lavaughan is an individual health care provider with primary practice located at 3330 S Crater Rd , Petersburg VA 23805-9277. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Massenberg, Malcolm Lavaughan can be contacted via phone (804) 863-0983.Contact Information
Primary practice address
3330 S Crater Rd
Petersburg VA 23805-9277
Phone: (804) 863-0983
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 0202005260 | Virginia |
Profile Details
| NPI number | 1518186253 |
|---|---|
| LBN Legal business name | Massenberg, Malcolm Lavaughan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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