Healthcare Provider Details

I. General information

NPI: 1437665262
Provider Name (Legal Business Name): VETERANS CAB ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 12/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 JEFFERSON DAVIS HWY
RICHMOND VA
23234-3163
US

IV. Provider business mailing address

PO BOX 37100
NORTH CHESTERFIELD VA
23234-7100
US

V. Phone/Fax

Practice location:
  • Phone: 804-275-5542
  • Fax:
Mailing address:
  • Phone: 804-275-5542
  • Fax: 804-275-5540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateVA

VIII. Authorized Official

Name: MR. BERCHER BARRETT
Title or Position: OWNER
Credential: J.D.
Phone: 804-275-5542