Gildersleeve, Roger F

Gildersleeve, Roger F is an individual health care provider with primary practice located at 78 Medical Center Dr , Fishersville VA 22939-2332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Gildersleeve, Roger F can be contacted via phone (540) 932-4075.

Contact Information

Primary practice address
78 Medical Center Dr Fishersville VA 22939-2332
Phone: (540) 932-4075
Fax: (540) 932-5199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101055287 Virginia

Profile Details

NPI number 1629040159
LBN Legal business name Gildersleeve, Roger F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Mar 16th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629040159 NPPES
Virginia Other 21288 OPTIMA
Virginia Other 225193 OPTIMA
Virginia Other 452942 OPTIMA
Virginia Other 5858488 OPTIMA
Virginia Other 700011613 OPTIMA
Virginia Other 2202346 OPTIMA
Virginia MEDICAID 005858488 OPTIMA

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