Board Certified Family Practice, Inc

LBN: Board Certified Family Practice, Inc
Board Certified Family Practice, Inc is an health care organization with primary practice located at 2020 S Independence Blvd Ste 3 , Virginia Beach VA 23453-4776. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Board Certified Family Practice, Inc can be contacted via phone (757) 471-6977, or through Desai, Gautam via phone (757) 471-6977.

Contact Information

Primary practice address
2020 S Independence Blvd Ste 3 Virginia Beach VA 23453-4776
Phone: (757) 471-6977
Fax: (757) 471-5300
Website:
Map and Directions
Authorized official contact:
Name: Desai, Gautam
Phone: (757) 471-6977

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101045379 Virginia

Profile Details

NPI number 1972715274
LBN Legal business name Board Certified Family Practice, Inc
DBA Doing business as
Authorized official Desai, Gautam
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Mar 14th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972715274 NPPES
North Carolina MEDICAID 890666E
North Carolina MEDICAID 005628881

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