Jefferies, Michael
Jefferies, Michael is an sole proprietor health care provider with primary practice located at 112 Pine Creek Dr , Hampton VA 23669-1244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jefferies, Michael can be contacted via phone (757) 810-3232.Contact Information
Primary practice address
112 Pine Creek Dr
Hampton VA 23669-1244
Phone: (757) 810-3232
Fax: (757) 788-8816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101229307 | Virginia |
Profile Details
| NPI number | 1902884901 |
|---|---|
| LBN Legal business name | Jefferies, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Mar 11th, 2015 - about 11 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 | 1902884901 | NPPES |
| Virginia | MEDICAID | 1902884901 |
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