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Contact Information

RACHEL A SHABAZZ
127 NEW ST
WAVERLY, VA23890-5006
 Phone: 804-898-9258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for RACHEL A SHABAZZ · (Female)

NPI Number 1578454955
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2025
Last updated 07/14/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 1261011229
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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