Healthcare Provider Details

I. General information

NPI: 1235521667
Provider Name (Legal Business Name): MEDICAL SOLUTIONS OF VIRGINIA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2015
Last Update Date: 02/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 ELM FOREST CT
CHESAPEAKE VA
23322-7589
US

IV. Provider business mailing address

717 ELM FOREST CT
CHESAPEAKE VA
23322-7589
US

V. Phone/Fax

Practice location:
  • Phone: 757-726-6078
  • Fax: 757-726-6078
Mailing address:
  • Phone: 757-726-6078
  • Fax: 757-726-6078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101229833
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101229833
License Number StateVA

VIII. Authorized Official

Name: DR. GLENN BARRON CHESHIRE
Title or Position: PHYSICIAN / OWNER
Credential: MD
Phone: 757-726-6078