Virgin, Tony

Virgin, Tony is an individual health care provider with primary practice located at 912 Park Ave , Ironton OH 45638-1596. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Dental Providers / Dentist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Virgin, Tony can be contacted via phone (740) 534-0021.

Contact Information

Primary practice address
912 Park Ave Ironton OH 45638-1596
Fax: (740) 534-0029
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-080020 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37987 Kentucky
Dental Providers / Dentist 122300000X 15995 Ohio

Profile Details

NPI number 1669568044
LBN Legal business name Virgin, Tony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 18th, 2011 - about 13 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 1669568044 NPPES
Ohio Other P00000193 RR MEDICARE
Ohio MEDICAID 64061609 RR MEDICARE
Ohio MEDICAID 0397806 RR MEDICARE
Ohio MEDICAID 2274257 RR MEDICARE
Ohio MEDICAID 0137181002 RR MEDICARE

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