Purvis, Edward Sanford

Purvis, Edward Sanford is an individual health care provider with primary practice located at 2232 Wilborn Avenue Physicians Pavilion, South Boston VA 24592-2936. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Purvis, Edward Sanford can be contacted via phone (434) 517-0233.

Contact Information

Primary practice address
2232 Wilborn Avenue Physicians Pavilion South Boston VA 24592-2936
Phone: (434) 517-0233
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101053990 Virginia

Profile Details

NPI number 1811996648
LBN Legal business name Purvis, Edward Sanford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 25th, 2018 - about 8 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 1811996648 NPPES
Virginia MEDICAID 007313501
Virginia Other 104303
Virginia Other 462169
Virginia Other P00038731

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