Spora Medical, Pc.
LBN: Spora Medical, Pc.
Spora Medical, Pc. is an health care organization with primary practice located at 4445 Corporation Ln Ste 264 , Virginia Beach VA 23462-3262. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Nursing Service Related Providers / Doula. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Spora Medical, Pc. can be contacted via phone (773) 389-1899, or through Davis, Lakisa via phone (773) 389-1899.
Contact Information
Primary practice address
4445 Corporation Ln Ste 264
Virginia Beach VA 23462-3262
Phone: (773) 389-1899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ||
| Nursing Service Related Providers / Doula | 374J00000X |
Profile Details
| NPI number | 1861013583 |
|---|---|
| LBN Legal business name | Spora Medical, Pc. |
| DBA Doing business as | |
| Authorized official | Davis, Lakisa |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 5th, 2020 |
| Last updated | Jun 8th, 2022 - about 3 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 | 1861013583 | NPPES |
| Other | 1922695949 | NPI | |
| Other | 1346993029 | NPI |
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