| Orthovirginia Inc | |
|
667 Kingsborough Square Suite 300 Chesapeake VA 23320-4999 | |
| (757) 422-8476 | |
| (804) 435-2172 |
| Full Name | Orthovirginia Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 667 Kingsborough Square, Chesapeake, Virginia |
| Authorized Official Name and Position | Nicole Proffitt (CREDENTIALING & ENROLLMENT) |
| Authorized Official Contact | 8045332357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthovirginia Inc Po Box 715868 Philadelphia PA 19171-5868 Ph: (804) 915-1910 | Orthovirginia Inc 667 Kingsborough Square Suite 300 Chesapeake VA 23320-4999 Ph: (757) 422-8476 |
| NPI Number | 1003554445 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 0547157224 |
|---|---|
| Medicare Enrollment ID | O20220915001019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003554445 | NPI | - | NPPES |
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