Delacey, William Agustine

Delacey, William Agustine is an individual health care provider with primary practice located at 2000 Meade Pkwy , Suffolk VA 23434-4259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Delacey, William Agustine can be contacted via phone (757) 925-0759.

Contact Information

Primary practice address
2000 Meade Pkwy Suffolk VA 23434-4259
Phone: (757) 925-0759
Fax: (757) 510-9436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101047940 Virginia

Profile Details

NPI number 1942265889
LBN Legal business name Delacey, William Agustine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 19th, 2014 - about 12 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 1942265889 NPPES
Virginia MEDICAID 6009590
Virginia MEDICAID 7906603
Virginia Other 060024220

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