Doctor Name: | MICHAEL S LAYNE |
NPI Number: | 1740440536 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0116020453 |
Business Practice Address: | 78 Medical Center Dr Fishersville, VA - 229392332 |
Business Phone Number: | 5409324075 |
Business Fax Number: | 5409325199 |
Mailing Address: | Po Box 388, FISHERSVILLE |
State: | VA |
Postal Code: | 229390388 |
Phone Number: | 5409324075 |
Fax Number: | 5409324616 |
NPI Enumeration Date: | 06/15/2008 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116020453 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |