Individual
ERIN ICENBICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE GENERAL HOSPITAL, CHESAPEAKE, VA 23320-4941
(757) 490-9388
(757) 490-9401
Mailing address
4536 BONNEY RD, VIRGINIA BEACH, VA 23462-3869
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001733
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00135004
MEDICARE RAILROAD
—
Enumeration date
08/30/2006
Last updated
11/03/2010
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