Provider Demographics
NPI:1841208535
Name:MEDICAL CONSULTANTS OF VIRGINIA, LTD.
Entity Type:Organization
Organization Name:MEDICAL CONSULTANTS OF VIRGINIA, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-627-3790
Mailing Address - Street 1:255 W BUTE ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1403
Mailing Address - Country:US
Mailing Address - Phone:757-627-3790
Mailing Address - Fax:757-623-5023
Practice Address - Street 1:255 W BUTE ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1403
Practice Address - Country:US
Practice Address - Phone:757-627-3790
Practice Address - Fax:757-623-5023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty