Vansavage Maben, Madison
Vansavage Maben, Madison is an individual health care provider with primary practice located at 433 Network Sta , Chesapeake VA 23320. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as her primary health care specialty. Vansavage Maben, Madison can be contacted via phone (757) 892-5300.Contact Information
Primary practice address
433 Network Sta
Chesapeake VA 23320
Phone: (757) 892-5300
Fax: (757) 892-5303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | CO005977 | Virginia |
Profile Details
| NPI number | 1639647993 |
|---|---|
| LBN Legal business name | Vansavage Maben, Madison |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2018 |
| Last updated | May 30th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639647993 | NPPES |
| Virginia | MEDICAID | 009190414 | |
| Virginia | MEDICAID | 09190414 |
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