Provider Demographics
NPI:1104887157
Name:VERHOEF, JEFFREY C (PT, MBA)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:C
Last Name:VERHOEF
Suffix:
Gender:M
Credentials:PT, MBA
Other - Prefix:
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Mailing Address - Street 1:771 PILOT HOUSE DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606
Mailing Address - Country:US
Mailing Address - Phone:757-873-2302
Mailing Address - Fax:757-873-2306
Practice Address - Street 1:751 J CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1538
Practice Address - Country:US
Practice Address - Phone:757-873-2123
Practice Address - Fax:757-873-3848
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305003226225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA650000213Medicare PIN
VA8928720Medicaid
VA192931OtherBCBS PHYSICAL THERAPY
VAC05954Medicare PIN
5391655OtherAETNA
VA650020040OtherRAILROAD MEDICARE