Ebony Cosby
Individual provider Active NPI Contractor · Charlottesville, VA
NPI 1649637752 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1649637752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 2500 Boulders Rd
Charlottesville, VA 22911 - Phone
- (434) 951-4747
- NPI assigned
- Jan 20, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
2500 Boulders Rd
Charlottesville, VA 22911
Mailing address
6387 Center Dr
Suite 9
Norfolk, VA 23502-4109
Phone (757) 461-8820
Other providers in Charlottesville, VA
- Nancy Cornell
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- Maria Elisa Cortes
- Hanny Alejandra Corvalan
- Matthew Thomas Corwin
- Michael Costa
- Raymond A. Costabile
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All providers in Charlottesville, VA · Contractor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.