Provider Demographics
NPI:1134900020
Name:MCQUEEN AND DHILLON ENTERPRISES, LLC
Entity type:Organization
Organization Name:MCQUEEN AND DHILLON ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICATION MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:540-247-1196
Mailing Address - Street 1:540 22ND ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-4002
Mailing Address - Country:US
Mailing Address - Phone:540-247-1196
Mailing Address - Fax:
Practice Address - Street 1:1624 LASKIN RD
Practice Address - Street 2:STE 736 PMB 1131
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-2345
Practice Address - Country:US
Practice Address - Phone:757-250-2104
Practice Address - Fax:757-425-6257
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCQUEEN AND DHILLON ENTERPRISES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty