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ALFRED W ODAIRE JR, PA-C – NPI #1831184803
Medical

NPI Profile for ALFRED W ODAIRE JR in EMPORIA, VA.

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Contact Information

ALFRED W ODAIRE JR, PA-C
511 BELFIELD DR.
EMPORIA, VA  23847
 Phone: 434-348-4680
 Fax: 434-336-0014
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical

 363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALFRED W ODAIRE JR · (Male)

NPI # 1831184803
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/15/2005
Last updated 09/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0110840276
  • VA Medicaid 1831184803
  • Other P00376918 RR MEDICARE
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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