Michael Paul Verhulst, PA
Physician Assistant in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1629837745
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1629837745
- Entity type
- Individual (NPI-1)
- Name
- Michael Paul Verhulst
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2024
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110010070 | VA | Yes |
Practice location
225 Clearfield AveVirginia Beach, VA 23462-1815
Phone 757-457-5100
Mailing address
225 Clearfield AveVirginia Beach, VA 23462-1815
Phone 757-870-1827
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