| Nickel Bridge Family Medicine | |
|
1405 Westover Hills Blvd Ste 1a Richmond VA 23225-3153 | |
| (804) 293-0821 | |
| (866) 293-4718 |
| Full Name | Nickel Bridge Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1405 Westover Hills Blvd Ste 1a, Richmond, Virginia |
| Authorized Official Name and Position | Kathleen Diana Dipasquale Seelig (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8042930821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nickel Bridge Family Medicine 1405 Westover Hills Blvd Ste 1a Richmond VA 23225-3153 Ph: (804) 293-0821 | Nickel Bridge Family Medicine 1405 Westover Hills Blvd Ste 1a Richmond VA 23225-3153 Ph: (804) 293-0821 |
| NPI Number | 1245985811 |
|---|---|
| Provider Enumeration Date | 02/12/2022 |
| Last Update Date | 10/20/2024 |
| Medicare PECOS PAC ID | 2365839313 |
|---|---|
| Medicare Enrollment ID | O20220422000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245985811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kathleen D Dipasquale-seelig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487917571 PECOS PAC ID: 4587966684 Enrollment ID: I20160106002050 |
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