Provider Demographics
NPI:1225240864
Name:ROWLEDGE, VIRGINA TOMPKINS (BCHIS HEARING INSTRU)
Entity Type:Individual
Prefix:
First Name:VIRGINA
Middle Name:TOMPKINS
Last Name:ROWLEDGE
Suffix:
Gender:F
Credentials:BCHIS HEARING INSTRU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 TAMIAMI TRAIL N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5803
Mailing Address - Country:US
Mailing Address - Phone:239-262-2288
Mailing Address - Fax:239-263-8378
Practice Address - Street 1:380 TAMIAMI TRAIL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5803
Practice Address - Country:US
Practice Address - Phone:239-262-2288
Practice Address - Fax:239-263-8378
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS1317237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJ0040OtherBCBS