Basic Information
Provider Information
NPI: 1932170552
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MACPARTLAND
FirstName: RICHARD
MiddleName: STUART
NamePrefix: MR.
NameSuffix: JR.
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 220 JONATHANS WAY
Address2:  
City: SUFFOLK
State: VA
PostalCode: 234349145
CountryCode: US
TelephoneNumber: 7579230966
FaxNumber: 7579536081
Practice Location
Address1: 620 JOHN PAUL JONES CIR
Address2:  
City: PORTSMOUTH
State: VA
PostalCode: 237082111
CountryCode: US
TelephoneNumber: 7579539521
FaxNumber: 7579536081
Other Information
ProviderEnumerationDate: 01/31/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
247200000X  Y Technologists, Technicians & Other Technical Service ProvidersTechnician, Other 

No ID Information.


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