Biraben, Roger
Biraben, Roger is an sole proprietor health care provider with primary practice located at 102 Heritage Way Ne Ste 302 , Leesburg VA 20176-4544. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Biraben, Roger can be contacted via phone (703) 771-5100.Contact Information
Primary practice address
102 Heritage Way Ne Ste 302
Leesburg VA 20176-4544
Phone: (703) 771-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701001271 | Virginia |
Profile Details
| NPI number | 1710075007 |
|---|---|
| LBN Legal business name | Biraben, Roger |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710075007 | NPPES |
| Virginia | Other | 293817 | AMERIGROUP |
| Virginia | Other | 290251 | AMERIGROUP |
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