National Provider Identifier Database

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Public Health, State or Local


Contact Information

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
135 HALL AVENUE
SUITE A
SUFFOLK, VA23434-4657
Phone: 757-514-4700
Fax: 757-514-4873
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

NPI Number 1487629374
Legal business name
LBN
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official ANGELA TILLERY - (BUSINESS MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 02/22/2006
Last updated 02/09/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 008700664
  • VA Medicaid: 008770271
  • VA Medicaid: 4972279
  • VA Medicaid: 4976240

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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