Brenda Waller , Md
LBN: Pris,Plc
Brenda Waller , Md is an health care organization with primary practice located at 2600 Memorial Ave Suite 201B, Lynchburg VA 24501-2662. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty.
Pris,Plc can be contacted via phone (434) 528-0896, or through Waller, Brenda Sue via phone (434) 528-0896.
Contact Information
Primary practice address
2600 Memorial Ave Suite 201B
Lynchburg VA 24501-2662
Phone: (434) 528-0896
Fax: (434) 528-0898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0101055485 | Virginia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 0101055485 | Virginia |
Profile Details
| NPI number | 1891922928 |
|---|---|
| LBN Legal business name | Pris,Plc |
| DBA Doing business as | Brenda Waller , Md |
| Authorized official | Waller, Brenda Sue Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2009 |
| Last updated | Jan 20th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891922928 | NPPES |
| Virginia | MEDICAID | 010045100 |
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