Powell, Robert

Powell, Robert is an individual health care provider with primary practice located at 514 W Atlantic St , South Hill VA 23970-1906. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Powell, Robert can be contacted via phone (434) 447-6969.

Contact Information

Primary practice address
514 W Atlantic St South Hill VA 23970-1906
Phone: (434) 447-6969
Fax: (434) 447-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166051 Virginia

Profile Details

NPI number 1104824382
LBN Legal business name Powell, Robert
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Mar 25th, 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 1104824382 NPPES
Virginia Other 010125685 VA PREMIER SOUTH HILL
Virginia Other 21524 VA PREMIER SOUTH HILL
Virginia Other 010252393 VA PREMIER SOUTH HILL
Virginia MEDICAID 010252423 VA PREMIER SOUTH HILL
Virginia Other 21989 VA PREMIER SOUTH HILL
Virginia Other 60109 VA PREMIER SOUTH HILL
Virginia Other P00215680 VA PREMIER SOUTH HILL
Virginia MEDICAID 010125685 VA PREMIER SOUTH HILL
Virginia MEDICAID 010252393 VA PREMIER SOUTH HILL
Virginia Other 224189800 VA PREMIER SOUTH HILL

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