Lidman, Roger William

Lidman, Roger William is an individual health care provider with primary practice located at 816 Greenbrier Cir Suite A, Chesapeake VA 23320-2642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Lidman, Roger William can be contacted via phone (757) 461-6997.

Contact Information

Primary practice address
816 Greenbrier Cir Suite A Chesapeake VA 23320-2642
Phone: (757) 461-6997
Fax: (757) 461-6906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 0101033001 Virginia

Profile Details

NPI number 1639150881
LBN Legal business name Lidman, Roger William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Apr 27th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639150881 NPPES
Virginia MEDICAID 006095518
Virginia Other 110076684
Virginia Other 0585010001

Popular Providers