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Contact Information

MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD
5372B OLD VIRGINIA STREET
URBANNA, VA23175
 Phone: 804-758-5250
 Fax: 804-758-5183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD · (Female)

NPI Number 1245547264
Status Active
Credentials
Entity Individual
Enumeration date 09/13/2010
Last updated 09/13/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 171M00000X
  • VA Medicaid 49-7813-7
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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