Mcdonald, Janice A

Mcdonald, Janice A is an individual health care provider with primary practice located at 4509 Whitechapel Dr , Virginia Beach VA 23455-6447. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Mcdonald, Janice A can be contacted via phone (757) 460-4655.

Contact Information

Primary practice address
4509 Whitechapel Dr Virginia Beach VA 23455-6447
Phone: (757) 460-4655
Fax: (757) 460-7744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 200101474 North Carolina
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 0101261562 Virginia

Profile Details

NPI number 1306920830
LBN Legal business name Mcdonald, Janice A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 28th, 2017 - about 9 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 1306920830 NPPES
North Carolina Other 34D1040854 CLIA
North Carolina Other P00246669 CLIA
North Carolina Other 1302X CLIA
North Carolina MEDICAID 891302X CLIA

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