Waddy, James Mitchell
Waddy, James Mitchell is an individual health care provider with primary practice located at 3920 A Bridge Rd , Suffolk VA 23435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waddy, James Mitchell can be contacted via phone (757) 983-2200.Contact Information
Primary practice address
3920 A Bridge Rd
Suffolk VA 23435
Phone: (757) 983-2200
Fax: (757) 275-9993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 101232080 | Virginia |
Profile Details
| NPI number | 1487603205 |
|---|---|
| LBN Legal business name | Waddy, James Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Nov 17th, 2011 - about 14 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 | 1487603205 | NPPES |
| Virginia | MEDICAID | 10048052 |
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