Quidgley-Nevares, Antonio

Quidgley-Nevares, Antonio is an individual health care provider with primary practice located at 721 Fairfax Ave 3Rd Floor, Norfolk VA 23507-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Quidgley-Nevares, Antonio can be contacted via phone (757) 446-5915.

Contact Information

Primary practice address
721 Fairfax Ave 3Rd Floor Norfolk VA 23507-2007
Phone: (757) 446-5915
Fax: (757) 446-5969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0101231877 Virginia

Profile Details

NPI number 1467428375
LBN Legal business name Quidgley-Nevares, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 27th, 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 1467428375 NPPES
Virginia Other -017 TRICARE/CHAMPUS
Virginia MEDICAID 010065801 TRICARE/CHAMPUS
Virginia Other 06678 TRICARE/CHAMPUS
Virginia Other 10007083 TRICARE/CHAMPUS
Virginia Other 139142 TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia MEDICAID 8906678 TRICARE/CHAMPUS
Virginia Other 76226 TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other 3117723 TRICARE/CHAMPUS

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