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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619179363 | NPPES |
Virginia | MEDICAID | 1619179363 |
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