Haithcock, Roderick Ervin

Haithcock, Roderick Ervin is an individual health care provider with primary practice located at 505 W. Leigh Street Suite 303, Richmond VA 23220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Haithcock, Roderick Ervin can be contacted via phone (804) 644-1333.

Contact Information

Primary practice address
505 W. Leigh Street Suite 303 Richmond VA 23220
Phone: (804) 644-1333
Fax: (804) 782-1193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101029287 Virginia

Profile Details

NPI number 1801884580
LBN Legal business name Haithcock, Roderick Ervin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Nov 21st, 2024 - about 2 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 1801884580 NPPES
Virginia MEDICAID 6078460
Virginia Other C06695

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