North, Dwayne

North, Dwayne is an individual health care provider with primary practice located at 7554 Hospital Dr Ste D303 , Gloucester VA 23061-4178. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. North, Dwayne can be contacted via phone (804) 693-3400.

Contact Information

Primary practice address
7554 Hospital Dr Ste D303 Gloucester VA 23061-4178
Phone: (804) 693-3400
Fax: (804) 693-9793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 0102206030 Virginia

Profile Details

NPI number 1457745143
LBN Legal business name North, Dwayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2015
Last updated Jun 18th, 2020 - about 6 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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