Walraven, Michelle

Walraven, Michelle is an sole proprietor health care provider with primary practice located at 25 S Gateway Dr T-2175, Fredericksburg VA 22406-1228. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Walraven, Michelle can be contacted via phone (540) 374-4821.

Contact Information

Primary practice address
25 S Gateway Dr T-2175 Fredericksburg VA 22406-1228
Phone: (540) 374-4821
Fax: (540) 374-4831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 0230007988 Virginia
Pharmacy Service Providers / Pharmacy Technician 183700000X 290101040759955 Virginia

Profile Details

NPI number 1356731871
LBN Legal business name Walraven, Michelle
Credentials CPHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2015
Last updated Feb 4th, 2015 - about 9 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 1356731871 NPPES
Other 290101040759955 PHARMACY TECHNICIAN CERTIFICATION BOARD
Other 0230007988 PHARMACY TECHNICIAN CERTIFICATION BOARD

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