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Contact Information

DOUGLAS J ROSS, PAC
351 EDWIN DRIVE
SUITE 102
VIRGINIA BEACH, VA23462
 Phone: 757-499-5550
 Fax: 757-473-0919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DOUGLAS J ROSS · (Male)

NPI # 1255329900
Status Active
Credentials PAC
Entity Individual
Enumeration date 10/07/2005
Last updated 05/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0110840456
  • VA Medicaid 1255329900
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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