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VIRGINIA LICE REMOVAL LLC NPI 1790204196


NPI Information

NPI: 1790204196
Provider Name: VIRGINIA LICE REMOVAL, LLC
Classification: Technician, Other - 247200000X
Entity Type: Organization

CLIA Number: 49D0226413

Address:
1901 HUGUENOT RD STE 101
NORTH CHESTERFIELD, VA
ZIP 23235
Phone: (804) 337-3124
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VIRGINIA LICE REMOVAL, LLC is a technician other in North Chesterfield, VA. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. VIRGINIA LICE REMOVAL, LLC NPI is 1790204196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1901 HUGUENOT RD STE 101
NORTH CHESTERFIELD, VA
ZIP 23235-311
Phone: (804) 337-3124
Fax: (804) 337-3124

The provider's authorized official is Gerard Phillip Wolburg .
The authorized official title is Ceo and has the following contact phone number (804) 387-6509.

The CLIA number assigned to this NPI record is 49D0226413 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2017 and was last updated on 9/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247200000XTechnician, OtherYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.