Prince William Neuroscience Center

LBN: Pwnc Pc Corp
Prince William Neuroscience Center is an health care organization with primary practice located at 8650 Sudley Rd Suite 300, Manassas VA 20110-4419. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pwnc Pc Corp can be contacted via phone (703) 369-0600, or through Sandoval, Yvette C via phone (703) 369-0600.

Contact Information

Primary practice address
8650 Sudley Rd Suite 300 Manassas VA 20110-4419
Phone: (703) 369-0600
Fax: (703) 369-7487
Website:
Map and Directions
Authorized official contact:
Name: Sandoval, Yvette C Doctor of Medicine (MD)
Phone: (703) 369-0600

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101059282 Virginia

Profile Details

NPI number 1184707796
LBN Legal business name Pwnc Pc Corp
DBA Doing business as Prince William Neuroscience Center
Authorized official Sandoval, Yvette C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 3rd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184707796 NPPES
Virginia MEDICAID 0007111673

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