Parks-Savage, Agatha
Parks-Savage, Agatha is an individual health care provider with primary practice located at 825 Fairfax Ave 118, Norfolk VA 23507-1914. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Parks-Savage, Agatha can be contacted via phone (757) 446-5955.Contact Information
Primary practice address
825 Fairfax Ave 118
Norfolk VA 23507-1914
Phone: (757) 446-5955
Fax: (757) 446-5196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002666 | Virginia |
Profile Details
| NPI number | 1255307377 |
|---|---|
| LBN Legal business name | Parks-Savage, Agatha |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jan 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255307377 | NPPES |
| Virginia | Other | -002 -003 | MANAGED HEALTH CARE NETWORK/TRICARE |
| Virginia | Other | 2346739 | MANAGED HEALTH CARE NETWORK/TRICARE |
| Virginia | Other | PAR | MANAGED HEALTH CARE NETWORK/TRICARE |
| Virginia | Other | PAR | MANAGED HEALTH CARE NETWORK/TRICARE |
| Virginia | Other | PAR | MANAGED HEALTH CARE NETWORK/TRICARE |
| Virginia | Other | PAR | MANAGED HEALTH CARE NETWORK/TRICARE |
| Virginia | Other | PAR | MANAGED HEALTH CARE NETWORK/TRICARE |
| Virginia | MEDICAID | 010061903 | MANAGED HEALTH CARE NETWORK/TRICARE |
| Virginia | Other | 105775 | MANAGED HEALTH CARE NETWORK/TRICARE |
| Virginia | Other | 83251M | MANAGED HEALTH CARE NETWORK/TRICARE |
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