Old, William L

Old, William L is an individual health care provider with primary practice located at 500 J Clyde Morris Blvd Ste 602, Newport News VA 23601-1929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Old, William L can be contacted via phone (757) 534-5511.

Contact Information

Primary practice address
500 J Clyde Morris Blvd Ste 602 Newport News VA 23601-1929
Phone: (757) 534-5511
Fax: (757) 534-5515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 0101035691 Virginia

Profile Details

NPI number 1386679967
LBN Legal business name Old, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 28th, 2009 - about 17 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 1386679967 NPPES
Virginia Other P00360212 RAILROAD
Virginia MEDICAID 1386679967 RAILROAD
Virginia MEDICAID 010285216 RAILROAD

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