Provider Demographics
NPI:1831207760
Name:TEACHEY, WILLIAM SWAIN (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:SWAIN
Last Name:TEACHEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1020 INDEPENDENCE BLVD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455
Mailing Address - Country:US
Mailing Address - Phone:757-464-9165
Mailing Address - Fax:757-464-4478
Practice Address - Street 1:1020 INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 313
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455
Practice Address - Country:US
Practice Address - Phone:757-464-9165
Practice Address - Fax:757-464-4478
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101027211207Y00000X
NC16027207Y00000X
FLME17505207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6561781Medicaid
VA6561781Medicaid
B07158Medicare UPIN