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NOVA ADDICTION SPECIALISTS LLLC NPI 1245789460


NPI Information

NPI: 1245789460
Provider Name: NOVA ADDICTION SPECIALISTS LLLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
101 N COLUMBUS ST
SUITE 405
ALEXANDRIA, VA
ZIP 22314
Phone: (703) 340-1304
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NOVA ADDICTION SPECIALISTS LLLC is an addiction medicine internal medicine in Alexandria, VA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. NOVA ADDICTION SPECIALISTS LLLC NPI is 1245789460. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 N COLUMBUS ST
SUITE 405
ALEXANDRIA, VA
ZIP 22314-056
Phone: (703) 340-1304
Fax: (888) 965-7708

The provider's authorized official is Michael Homeyer .
The authorized official title is Medical Director and has the following contact phone number (703) 340-1304.

The enumeration date for this NPI number is 9/29/2016 and was last updated on 9/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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