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
200 FAIRVIEW AVE
FRANKLIN, VA23851-1216
Phone: 757-562-6109
Fax: 757-562-2630
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 1720053648
Legal business name
LBN
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official ANGELA TILLERY - (BUSINESS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/22/2006
Last updated 06/09/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 008700672
  • VA Medicaid: 008770336
  • VA Medicaid: 4976134

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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