Individual
DEBRA J ALECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3511 WESTERN BRANCH BLVD, PORTSMOUTH, VA 23707-3133
(757) 397-3668
(757) 397-5889
Mailing address
3511 WESTERN BRANCH BLVD, PORTSMOUTH, VA 23707-3133
(757) 397-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000870
VA
213E00000X
Podiatrist
1119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54 1031782
FED TAX ID
VA
05
—
9332146
—
VA
Enumeration date
12/01/2005
Last updated
08/12/2015
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