Healthcare Provider Details

I. General information

NPI: 1306018718
Provider Name (Legal Business Name): BCL MEDICAL BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 04/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5365 CLUB HEAD RD
VIRGINIA BCH VA
23455-6813
US

IV. Provider business mailing address

5365 CLUB HEAD RD
VIRGINIA BCH VA
23455-6813
US

V. Phone/Fax

Practice location:
  • Phone: 757-416-1405
  • Fax:
Mailing address:
  • Phone: 757-416-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: BEBE CHERYL LOCKLEAR
Title or Position: OWNER
Credential:
Phone: 757-416-1405