Provider Demographics
NPI:1407453046
Name:AMPERSEX.VA PC
Entity Type:Organization
Organization Name:AMPERSEX.VA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINLE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:415-225-2075
Mailing Address - Street 1:1 BOSTON PL STE 2600
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-4420
Mailing Address - Country:US
Mailing Address - Phone:860-918-0020
Mailing Address - Fax:
Practice Address - Street 1:100 SHOCKOE SLIP FL 2
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-4100
Practice Address - Country:US
Practice Address - Phone:860-918-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty