Laderberg, Steven Michael

Laderberg, Steven Michael is an individual health care provider with primary practice located at 5308 Providence Rd , Virginia Beach VA 23464-4102. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Laderberg, Steven Michael can be contacted via phone (757) 499-2020.

Contact Information

Primary practice address
5308 Providence Rd Virginia Beach VA 23464-4102
Phone: (757) 499-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000078 Virginia

Profile Details

NPI number 1538155577
LBN Legal business name Laderberg, Steven Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 14th, 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 1538155577 NPPES
Virginia MEDICAID 009203699

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