Ricciardi, Laura A

Ricciardi, Laura A is an individual health care provider with primary practice located at 3025 Berkmar Dr Suite 1, Charlottesville VA 22901-1456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ricciardi, Laura A can be contacted via phone (434) 973-1831.

Contact Information

Primary practice address
3025 Berkmar Dr Suite 1 Charlottesville VA 22901-1456
Phone: (434) 973-1831
Fax: (434) 973-1919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101228406 Virginia

Profile Details

NPI number 1689676967
LBN Legal business name Ricciardi, Laura A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Nov 7th, 2011 - about 15 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 1689676967 NPPES
Virginia Other 317302 SOUTHERN HEALTH
Virginia MEDICAID 010261864 SOUTHERN HEALTH
Virginia Other 181906 SOUTHERN HEALTH

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