Pantaze, Bede A.R.

Pantaze, Bede A.R. is an individual health care provider with primary practice located at 9702 Gayton Rd #181, Richmond VA 23238-4907. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pantaze, Bede A.R. can be contacted via phone (804) 741-7500.

Contact Information

Primary practice address
9702 Gayton Rd #181 Richmond VA 23238-4907
Phone: (804) 741-7500
Fax: (804) 741-7900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002816 Virginia

Profile Details

NPI number 1326005356
LBN Legal business name Pantaze, Bede A.R.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 23rd, 2019 - 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 1326005356 NPPES
Virginia MEDICAID 007712537
Virginia Other 245585

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