Tidewater Emergency Medical Care
Physician Assistant in Chesapeake, VA. Organization (NPI-2).
NPI number1295366201
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1295366201
- Entity type
- Organization (NPI-2)
- Legal business name
- Tidewater Emergency Medical Care
- Organization subpart
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Chesapeake Emergency Physicians (Doing Business As)
Practice location
736 Battlefield Blvd NChesapeake, VA 23320-4941
Phone 757-312-6200
Mailing address
Po Box 844521Boston, MA 02284-4521
Authorized official
Lewis H Siegel
Member
7574909388
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All 119 Physician Assistant providers in Chesapeake · All 5,503 providers in Chesapeake
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