VIRGINIA INTEGRATIVE MEDICAL LLC NPI 1982061297

NPI Information

NPI: 1982061297
Provider Name: VIRGINIA INTEGRATIVE MEDICAL LLC

Doing Business As: VIRGINIA INTEGRATIVE MEDICAL LLC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
125 PROSPERITY DR
SUITE 500
WINCHESTER, VA
ZIP 22602
Phone: (540) 550-3656
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VIRGINIA INTEGRATIVE MEDICAL LLC is a health service clinic center in Winchester, VA. VIRGINIA INTEGRATIVE MEDICAL LLC NPI is 1982061297. The provider is registered as an organization entity type.
The provider Is Doing Business As Virginia Integrative Medical Llc.

The provider's business location address is:

125 PROSPERITY DR
SUITE 500
WINCHESTER, VA
ZIP 22602-385
Phone: (540) 550-3656
Fax: (540) 868-0166

The provider's authorized official is Abel Costas Borromeo .
The authorized official title is Managing Member and has the following contact phone number (540) 550-3656.

The enumeration date for this NPI number is 1/19/2016 and was last updated on 1/19/2016.

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
1	261QH0100X	Clinic/Center	Health Service	0104556472	VIRGINIA	Yes

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

NPI Synchronization or Removal

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