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Contact Information

PHILIP DETRANA, PA
1240 LEE ST
CHARLOTTESVILLE, VA22908-0816
 Phone: 434-924-9333
 Fax: 434-244-7526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHILIP DETRANA · (Male)

NPI Number 1063255586
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/13/2024
Last updated 08/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VA License # 0110010146
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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