Everett, Joel C
Everett, Joel C is an individual health care provider with primary practice located at 13821 Village Mill Dr , Midlothian VA 23114-4365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Everett, Joel C can be contacted via phone (804) 794-2821.Contact Information
Primary practice address
13821 Village Mill Dr
Midlothian VA 23114-4365
Phone: (804) 794-2821
Fax: (804) 794-4072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101035064 | Virginia |
Profile Details
| NPI number | 1053327148 |
|---|---|
| LBN Legal business name | Everett, Joel C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jan 12th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053327148 | NPPES |
| Virginia | Other | 128507 | SOUTHERN HEALTH |
| Virginia | Other | 11359 | SOUTHERN HEALTH |
| Virginia | MEDICAID | 006703666 | SOUTHERN HEALTH |
| Virginia | Other | 21814 | SOUTHERN HEALTH |
| Virginia | Other | 1200322 | SOUTHERN HEALTH |
| Virginia | Other | 317420 | SOUTHERN HEALTH |
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