National Provider Identifier Database

DERMATOLOGY CONSULTANTS OF GLOUCESTER P L L C
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

DERMATOLOGY CONSULTANTS OF GLOUCESTER P L L C
6790 WOOD RIDGE DRIVE
GLOUCESTER COURTHOUSE, VA23061
Phone: 804-693-6527
Fax: 804-693-6615
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DERMATOLOGY CONSULTANTS OF GLOUCESTER P L L C

NPI Number 1568674133
Legal business name
LBN
DERMATOLOGY CONSULTANTS OF GLOUCESTER P L L C
Authorized official DAVID MUFFELMAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/04/2007
Last updated 06/07/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0101026776
  • VA Other: 141598 ANTHEM BCBS GROUP NUMBER
  • VA Other: CJ9476 RAILROAD MEDICARE

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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