Mcdaniel, William W

Mcdaniel, William W is an individual health care provider with primary practice located at 825 Fairfax Ave Suite 710, Norfolk VA 23507-1914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mcdaniel, William W can be contacted via phone (757) 446-5888.

Contact Information

Primary practice address
825 Fairfax Ave Suite 710 Norfolk VA 23507-1914
Phone: (757) 446-5888
Fax: (757) 446-5918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101038058 Virginia

Profile Details

NPI number 1205803467
LBN Legal business name Mcdaniel, William W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Nov 2nd, 2007 - about 19 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 1205803467 NPPES
Virginia Other O-80125 SENTARA
Virginia Other 326492 SENTARA
Virginia MEDICAID 690569T SENTARA

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