Misquitta, Andrea

Misquitta, Andrea is an individual health care provider with primary practice located at 150 Kingsley Ln , Norfolk VA 23505-4602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Misquitta, Andrea can be contacted via phone (804) 262-6900.

Contact Information

Primary practice address
150 Kingsley Ln Norfolk VA 23505-4602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101231969 Virginia

Profile Details

NPI number 1679533194
LBN Legal business name Misquitta, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 6th, 2018 - about 6 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 1679533194 NPPES
Virginia MEDICAID 7239955

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