Reese, Danita A

Reese, Danita A is an sole proprietor health care provider with primary practice located at 702 Plank Rd , South Hill VA 23970-2414. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Reese, Danita A can be contacted via phone (434) 447-3395.

Contact Information

Primary practice address
702 Plank Rd South Hill VA 23970-2414
Phone: (434) 447-3395
Fax: (434) 447-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103000943 Virginia

Profile Details

NPI number 1801887443
LBN Legal business name Reese, Danita A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Oct 25th, 2010 - about 15 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 1801887443 NPPES
Virginia Other 105423 ANTHEM BCBS VA
Virginia Other 0964320001 ANTHEM BCBS VA
Virginia Other 26977 ANTHEM BCBS VA
Virginia Other 480018496 ANTHEM BCBS VA
Virginia MEDICAID 890801V ANTHEM BCBS VA
Virginia MEDICAID 010066573 ANTHEM BCBS VA

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