Organization Name: | FAMILY PRACTICE OF WINCHESTER PLLC |
NPI Number: | 1558452763 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MILTON DEAN HAVRON (MANAGING MEMBER) |
Mailing Address: | 442 Fairmont Ave Winchester |
State: | VA US |
Postal Code: | 22601 |
Phone Number: | 5407238992 |
Fax Number: | 5407221120 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 01/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101055962 |
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. |