MEDICARE: DR. MICHELE DENKER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	39363	NC
2	2084P0800X	Psychiatry Physician	0101263646	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28348	OTHER	NC	BCBS
2	20-5514002	OTHER	NC	TAX ID

General Provider Information

NPI Number	:	1497890925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELE DENKER MD

Provider Business Mailing Address
First Line	:	FT BELVOIR COMMUNITY HOSPITAL
Second Line	:	9300 DEWITT LOOP
City	:	FT BELVOIR
State	:	VA
Zip	:	22060-0000
Country	:	US
Telephone Number	:	919-610-8906
Fax Number	:

Provider Business Practice Location Address
First Line	:	FT BELVOIR COMMUNITY HOSPITAL
Second Line	:	9300 DEWITT LOOP
City	:	FT BELVOIR
State	:	VA
Zip	:	22060-0000
Country	:	US
Telephone Number	:	919-610-8906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	05/04/2022

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