Tice, Laura M

Tice, Laura M is an individual health care provider with primary practice located at 2006 Health Campus Dr Ste 300 , Rockingham VA 22801-8679. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tice, Laura M can be contacted via phone (540) 689-7400.

Contact Information

Primary practice address
2006 Health Campus Dr Ste 300 Rockingham VA 22801-8679
Phone: (540) 689-7400
Fax: (757) 963-9617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003606 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110004049 Virginia

Profile Details

NPI number 1033461520
LBN Legal business name Tice, Laura M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2012
Last updated Aug 17th, 2023 - about 3 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 1033461520 NPPES
Virginia MEDICAID 1033461520

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