Organization Name: | ASSOCIATED NEUROLOGISTS PC |
NPI Number: | 1275714966 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN JOSEPH HENNESSEY (PRESIDENT) |
Mailing Address: | 1401 Johnston Willis Dr The Atrium Suite 5300 Richmond |
State: | VA US |
Postal Code: | 232354730 |
Phone Number: | 8043231145 |
Fax Number: | 8042721903 |
NPI Enumeration Date: | 11/21/2007 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101031272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |