Prom, Saunora Vann

Prom, Saunora Vann is an individual health care provider with primary practice located at 1100 Volvo Pkwy Ste 100 , Chesapeake VA 23320-3341. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Prom, Saunora Vann can be contacted via phone (757) 410-3231.

Contact Information

Primary practice address
1100 Volvo Pkwy Ste 100 Chesapeake VA 23320-3341
Phone: (757) 410-3231
Fax: (757) 410-3219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0116018672 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102202325 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0102202325 Virginia

Profile Details

NPI number 1619179363
LBN Legal business name Prom, Saunora Vann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Mar 29th, 2023 - about 2 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 1619179363 NPPES
Virginia MEDICAID 1619179363

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