Bunting, Lisa Bradley

Bunting, Lisa Bradley is an individual health care provider with primary practice located at 500 Discovery Dr Suite 302, Chesapeake VA 23320-3871. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bunting, Lisa Bradley can be contacted via phone (757) 668-2500.

Contact Information

Primary practice address
500 Discovery Dr Suite 302 Chesapeake VA 23320-3871
Phone: (757) 668-2500
Fax: (757) 668-2510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101054467 Virginia

Profile Details

NPI number 1912931593
LBN Legal business name Bunting, Lisa Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 10th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912931593 NPPES
Virginia Other 231106 MDIPA
Virginia MEDICAID 790617U MDIPA
Virginia Other 006730761 MDIPA
Virginia Other 17808 MDIPA
Virginia Other 17808 MDIPA
Virginia Other 231106 MDIPA
Virginia MEDICAID 006730761 MDIPA
Virginia Other 463534 MDIPA
Virginia Other 17808 MDIPA
Virginia Other 5300714 MDIPA
Virginia Other 006730761 MDIPA
Virginia Other 231106 MDIPA
Virginia Other 463534 MDIPA
Virginia Other 463534 MDIPA
Virginia Other 5417787860141E MDIPA
Virginia Other 231106 MDIPA
Virginia Other 541778786 MDIPA

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