Provider Demographics
NPI:1851562078
Name:E 2 C GROUP, LLC
Entity Type:Organization
Organization Name:E 2 C GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:I
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-553-9995
Mailing Address - Street 1:1206 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-3740
Mailing Address - Country:US
Mailing Address - Phone:804-553-9995
Mailing Address - Fax:804-553-9993
Practice Address - Street 1:1206 WARREN AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-3740
Practice Address - Country:US
Practice Address - Phone:804-553-9995
Practice Address - Fax:804-553-9993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:E 2 C GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705098416A171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty