Louis J Marconyak
Orthodontists
351 Edwin Dr Suite 104
Virginia Beach
, Virginia 23462-4559
Louis J Marconyak
Orthodontists
351 Edwin Dr Suite 104
Virginia Beach
, Virginia 23462-4559
(757) 473-3576
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Louis J Marconyak
- 351 Edwin Dr Suite 104
- Virginia Beach, VA
- Zip : 23462-4559
- Fax : (757) 473-3576
- Phone : (757) 499-3530
Second Address
- Louis J Marconyak
- 351 Edwin Dr Suite 104
- Virginia Beach, VA
- Zip : 23462-4559
- Fax : (757) 473-3576
- Phone : (757) 499-3530
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 3981 | VA |
National Provider Identifier
| NPI | 1073552386 |
|---|---|
| Provider Name | Louis J Marconyak |
| First Address | Virginia Beach, VA 23462-4559 |
| Second Address | Virginia Beach, VA 23462-4559 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 04/11/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.