| Von Elten Family Practice, Llc | |
|
120 Dogwood Ln Orange VA 22960-1058 | |
| (540) 672-2611 | |
| (540) 672-2611 |
| Full Name | Von Elten Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Dogwood Ln, Orange, Virginia |
| Authorized Official Name and Position | Christopher B Von Elten (SOLE MEMBER) |
| Authorized Official Contact | 4347701000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Von Elten Family Practice, Llc 631 Berkmar Cir Charlottesville VA 22901-1464 Ph: (434) 770-1000 | Von Elten Family Practice, Llc 120 Dogwood Ln Orange VA 22960-1058 Ph: (540) 672-2611 |
| NPI Number | 1629835244 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 0840638375 |
|---|---|
| Medicare Enrollment ID | O20240403002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629835244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251J00000X | Nursing Care | (* (Not Available)) | Secondary |
| Provider Name | Christopher B Vonelten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336199330 PECOS PAC ID: 7012813728 Enrollment ID: I20031211000724 |
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