Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0090-00857 | NC |
Y | 207PE0004X | Emergency Medical Services | 0102203009 | VA |
NPI | 1184634909 |
---|---|
Provider Name | Jennifer Himmel Salch |
First Address | Virginia Beach, VA 23462-3818 |
Second Address | Chesapeake, VA 23320-4941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 05/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1429C | BCBS OF NC (01) | NC |
5904434 | (05) | NC |
P00340226 | RAILROAD MEDICARE (01) | NC |