Israel, David

Israel, David is an sole proprietor health care provider with primary practice located at 2120 Staples Mill Rd Ste 209, Richmond VA 23230-2917. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Israel, David can be contacted via phone (804) 716-2629.

Contact Information

Primary practice address
2120 Staples Mill Rd Ste 209 Richmond VA 23230-2917
Phone: (804) 716-2629
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 0810000634 Virginia

Profile Details

NPI number 1861404881
LBN Legal business name Israel, David
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Nov 2nd, 2018 - about 5 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 1861404881 NPPES
Virginia MEDICAID 7708271

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