Joseph John, PA-C
Physician Assistant in Norfolk, VA. Individual provider (NPI-1).
NPI number1790733368
StatusActive
Last updated in NPPESAug 15, 2019
Details
- NPI
- 1790733368
- Entity type
- Individual (NPI-1)
- Name
- Joseph John
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Aug 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110001755 | VA | Yes |
| 363A00000X | Physician Assistant | 023550 | NY |
Practice location
825 Fairfax AveSuite 118
Norfolk, VA 23507-1914
Phone 757-446-5955 · Fax 757-446-5196
Mailing address
Po Box 936Norfolk, VA 23501-0936
Phone 757-446-5955 · Fax 757-446-5196
Other practice locations
1060 First Colonial Rd
Virginia Beach, VA 23454-3002
Virginia Beach, VA 23454-3002
Phone 757-967-8622 · Fax 757-686-0541
2025 Glenn Mitchell Dr
Va Beach, VA 23456-0178
Va Beach, VA 23456-0178
Phone 757-967-8622 · Fax 757-686-0541
200 Ohio St
Medina, NY 14103-1063
Medina, NY 14103-1063
Phone 716-798-2000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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