Powell, David M

Powell, David M is an individual health care provider with primary practice located at 3000 Coliseum Dr Suite 104, Hampton VA 23666-5963. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Powell, David M can be contacted via phone (757) 827-9400.

Contact Information

Primary practice address
3000 Coliseum Dr Suite 104 Hampton VA 23666-5963
Fax: (757) 827-9320
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101051961 Virginia

Profile Details

NPI number 1720084957
LBN Legal business name Powell, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Dec 12th, 2007 - about 17 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 1720084957 NPPES
Virginia Other 53131 OPTIMA

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