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:
Health care specialties
Specialty | Code | License # | 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 12 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 | 1932172756 | NPPES |
Virginia | MEDICAID | 005838827 | |
Virginia | Other | 110204555 |
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