Provider Demographics
NPI:1134722481
Name:BEHL HEALTH CARE SUPPORT ORGANIZATION LLC
Entity type:Organization
Organization Name:BEHL HEALTH CARE SUPPORT ORGANIZATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YUGAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, DSC
Authorized Official - Phone:757-224-3004
Mailing Address - Street 1:142 INDEPENDENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6718
Mailing Address - Country:US
Mailing Address - Phone:757-224-3004
Mailing Address - Fax:
Practice Address - Street 1:142 INDEPENDENCE BLVD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6718
Practice Address - Country:US
Practice Address - Phone:757-224-3004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care