NPI 1023049517
Commonwealth of Virginia State Board of Health
Practice location
- Address
- 10708 Ballantraye Drive Suite 204, Fredericksburg, VA 22407-4701
- Phone
- (540) 891-3151
- Fax
- (540) 891-3152
- Mailing address
- 608 Jackson Street, Fredericksburg, VA 22401-5719
Authorised official
- Name
- Brooke W Rossheim
- Title
- Director
- Phone
- (540) 899-4797
Registered specialties (2)
Public Health or Welfare Agency
Primary
Public Health or Welfare Agency
Registry record
- NPI
- 1023049517
- Entity type
- Organization
- NPI issued
- 5 Jul 2006
- Record last updated
- 13 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.