Padmore, Nicole A

Padmore, Nicole A is an individual health care provider with primary practice located at 5701 Thurston Ave Suite 103, Virginia Beach VA 23455-3330. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Padmore, Nicole A can be contacted via phone (757) 340-3489.

Contact Information

Primary practice address
5701 Thurston Ave Suite 103 Virginia Beach VA 23455-3330
Phone: (757) 340-3489
Fax: (757) 340-4278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101058077 Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 0101058077 Virginia

Profile Details

NPI number 1932172756
LBN Legal business name Padmore, Nicole A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 11th, 2013 - about 11 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 1932172756 NPPES
Virginia MEDICAID 005838827
Virginia Other 110204555

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