Healthcare Provider Details

I. General information

NPI: 1255441838
Provider Name (Legal Business Name): PLANNED PARENTHOOD SOUTHEASTERN VIRGINIA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 NEWTOWN RD
VIRGINIA BEACH VA
23462-5620
US

IV. Provider business mailing address

515 NEWTOWN RD
VIRGINIA BEACH VA
23462-5620
US

V. Phone/Fax

Practice location:
  • Phone: 757-499-7526
  • Fax: 757-309-4813
Mailing address:
  • Phone: 757-309-4827
  • Fax: 757-309-4813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: PAULETTE MCELWAIN
Title or Position: CEO
Credential:
Phone: 804-482-6161