Smalls, Alphonzo

Smalls, Alphonzo is an individual health care provider with primary practice located at 2736 Gum Rd , Chesapeake VA 23321-1516. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Vascular Specialist, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Smalls, Alphonzo can be contacted via phone (757) 749-2308.

Contact Information

Primary practice address
2736 Gum Rd Chesapeake VA 23321-1516
Phone: (757) 749-2308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Vascular Specialist 246XC2903X 101858 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110-004964 Virginia

Profile Details

NPI number 1861751372
LBN Legal business name Smalls, Alphonzo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2012
Last updated Jun 12th, 2015 - about 11 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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