Bryant, Stephen R
Bryant, Stephen R is an individual health care provider with primary practice located at 514 W Atlantic St , South Hill VA 23970-1906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bryant, Stephen R can be contacted via phone (434) 447-6969.Contact Information
Primary practice address
514 W Atlantic St
South Hill VA 23970-1906
Phone: (434) 447-6969
Fax: (434) 447-8173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101026281 | Virginia |
Profile Details
| NPI number | 1073589677 |
|---|---|
| LBN Legal business name | Bryant, Stephen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Nov 9th, 2012 - about 12 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 | 1073589677 | NPPES |
| Virginia | MEDICAID | 007610874 | |
| Virginia | MEDICAID | 1073589677 | |
| Virginia | MEDICAID | 007610327 | |
| Virginia | MEDICAID | 010288134 |
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