Tidewater Family Medical Care, Pc
LBN: Tidewater Family Medical Care, Pc
Tidewater Family Medical Care, Pc is an health care organization with primary practice located at 516 Innovation Dr Ste 103, Chesapeake VA 23320-3847. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Tidewater Family Medical Care, Pc can be contacted via phone (757) 495-0606, or through Piccioni, Frank Joseph via phone (757) 495-0606.
Contact Information
Primary practice address
516 Innovation Dr Ste 103
Chesapeake VA 23320-3847
Phone: (757) 495-0606
Fax:
Website:
Authorized official contact:
Name: Piccioni, Frank Joseph Doctor of Osteopathy (DO)
Phone: (757) 495-0606
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0102037087 | Virginia |
Profile Details
| NPI number | 1730214248 |
|---|---|
| LBN Legal business name | Tidewater Family Medical Care, Pc |
| DBA Doing business as | |
| Authorized official | Piccioni, Frank Joseph Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 14th, 2008 - about 17 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 | 1730214248 | NPPES |
| Virginia | MEDICAID | 10139414 | |
| Virginia | Other | 131473 | |
| Virginia | Other | 172725 |
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