La Rue, Michael S

La Rue, Michael S is an individual health care provider with primary practice located at Partricia W Henderson Do Pc 1 Arh Lane, Ste 800, Low Moor VA 24457. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. La Rue, Michael S can be contacted via phone (540) 862-6750.

Contact Information

Primary practice address
Partricia W Henderson Do Pc 1 Arh Lane, Ste 800 Low Moor VA 24457
Phone: (540) 862-6750
Fax: (540) 862-3742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001381 Virginia

Profile Details

NPI number 1972508059
LBN Legal business name La Rue, Michael S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Aug 12th, 2008 - about 18 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 1972508059 NPPES
Other 260538432 TRICARE
MEDICAID 1972508059 TRICARE

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