1740269497 NPI number — DR. WILLIAM L ALFORD MD

Table of content: DR. WILLIAM L ALFORD MD (NPI 1740269497)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740269497 NPI number — DR. WILLIAM L ALFORD MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALFORD
Provider First Name:
WILLIAM
Provider Middle Name:
L
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740269497
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/12/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
297 INDEPENDENCE BLVD
Provider Second Line Business Mailing Address:
SUITE 126
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23462-2911
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-385-0511
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
297 INDEPENDENCE BLVD
Provider Second Line Business Practice Location Address:
SUITE 126
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23462-2911
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-385-0511
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207QA0401X , with the licence number:  0101029440 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 320476 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: C03534 . This is a "CITY OF VA BEACH MCR GRP#" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 0005653125 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1022651 . This is a "CIGNA BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 165590 . This is a "COMPSYCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 007210841 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004945395 . This is a "VA PREMIER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 007306610 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 088922 . This is a "SENTARA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2015813 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1861562472 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 395997 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 54-0722061 . This is a "CTIY OF VA BEACH TAXID#" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 046836 . This is a "VALUE-OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 254853000 . This is a "MAGELLAN" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 330056 . This is a "ANTHEM BCBS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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