Provider Demographics
NPI:1912187857
Name:R J BETTINI
Entity Type:Organization
Organization Name:R J BETTINI
Other - Org Name:BETTINI & EMERY P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-978-5440
Mailing Address - Street 1:9004 CROWNWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1630
Mailing Address - Country:US
Mailing Address - Phone:703-978-5440
Mailing Address - Fax:703-978-0764
Practice Address - Street 1:9004 CROWNWOOD CT
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1630
Practice Address - Country:US
Practice Address - Phone:703-978-5440
Practice Address - Fax:703-978-0764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0745587207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA506109OtherMEDICARE GROUP PROVIDER #
VA1194781971OtherEMERY INDIV NPI
VA1316971609OtherBETTINI INDIVID NPI
VA1912187857OtherGROUP NPI #
VA506109OtherMEDICARE GROUP PROVIDER #