Erin Icenbice is a Medical in Virginia Beach, Virginia. Erin Icenbice practices all healthcare services and medical treatments related to Medical. The NPI Number for Erin Icenbice is 1124137120. The last update date is 2010-11-03.
Erin Icenbice's current location address is 4536 Bonney Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7574909388 and fax number 7574909401. The mailing address for Erin Icenbice is 4536 Bonney Rd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erin Icenbice |
|---|---|
| Address | 4536 Bonney Rd, Virginia Beach, Virginia |
| Phone Number | 7574909388 |
| Fax Number | 7574909401 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1124137120 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2010-11-03 |
Provider Mailing Address Detail
| Address | 4536 Bonney Rd |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234623869 |
| Phone Number | 7574909388 |
| Fax Number | 7574909401 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 110001733 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00135004 | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Erin Icenbice's unique identification number?
The Erin Icenbice has been assigned the NPI (National Provider Identifier) Number 1124137120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Erin Icenbice's facilities are situated?
The facilities of Erin Icenbice are physically located at the following address: 4536 Bonney Rd, Virginia Beach, VA, 234623869.
What is Erin Icenbice's area of expertise and its corresponding taxonomy classification?
The Erin Icenbice's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1124137120 to Erin Icenbice?
The Centers for Medicare & Medicaid Services assigned the 1124137120 to Erin Icenbice on 2006-08-30.
When was the Erin Icenbice's information last updated?
The Erin Icenbice's information was last updated on 2010-11-03.
NPI Number: 1528061793
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