Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 0103000750 | VA |
Y | 222Z00000X | Podiatrist | 0103000750 | VA |
NPI | 1013944909 |
---|---|
Provider Name | William W Eng |
First Address | Richmond, VA 23226-2041 |
Second Address | Richmond, VA 23226-2041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 30/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009331379 | (05) | VA |
044240 | ANTHEM BCBS (01) | VA |
044240 | ANTHEM HEALTHKEEPERS (01) | VA |
T21363 | (02) | VA |