EDWARD LEGARE RSA NPI 1710318597

NPI Information

NPI: 1710318597
Provider Name: EDWARD LEGARE, RSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
4656 LARKWOOD DR
VIRGINIA BEACH, VA
ZIP 23464
Phone: (757) 353-9603
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Edward Legare, RSA is a surgical physician assistant in Virginia Beach, VA. Edward Legare, RSA NPI is 1710318597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4656 LARKWOOD DR
VIRGINIA BEACH, VA
ZIP 23464-817
Phone: (757) 353-9603

The enumeration date for this NPI number is 12/4/2013 and was last updated on 9/17/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant	0136000017	VIRGINIA	No
2	363AS0400X	Physician Assistant	Surgical		VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0136000017	OTHER	VIRGINIA	REGISTERED SURGICAL ASSISTANT

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

NPI Synchronization or Removal

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