Montejo, Migdonia

Montejo, Migdonia is an individual health care provider with primary practice located at 110 Kingsley Ln Suite 106, Norfolk VA 23505-4614. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Montejo, Migdonia can be contacted via phone (757) 889-5735.

Contact Information

Primary practice address
110 Kingsley Ln Suite 106 Norfolk VA 23505-4614
Phone: (757) 889-5735
Fax: (757) 889-5742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101058505 Virginia

Profile Details

NPI number 1467459347
LBN Legal business name Montejo, Migdonia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 18th, 2007 - 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 1467459347 NPPES
Virginia Other 119124 ANTHEM BC/BS
Virginia Other 7852026 ANTHEM BC/BS
Virginia MEDICAID 5602076 ANTHEM BC/BS
Virginia Other 19462 ANTHEM BC/BS
Virginia Other 370927 ANTHEM BC/BS
Virginia Other 603296 ANTHEM BC/BS
Virginia MEDICAID 89064GW ANTHEM BC/BS

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