Luder, Everett Kirk
Luder, Everett Kirk is an sole proprietor health care provider with primary practice located at 2017 Jefferson St Sw , Roanoke VA 24014-2419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Luder, Everett Kirk can be contacted via phone (540) 981-8025.Contact Information
Primary practice address
2017 Jefferson St Sw
Roanoke VA 24014-2419
Phone: (540) 981-8025
Fax: (540) 853-0511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101222348 | Virginia |
Profile Details
| NPI number | 1629046701 |
|---|---|
| LBN Legal business name | Luder, Everett Kirk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 14th, 2023 - about last year |
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 | 1629046701 | NPPES |
| Virginia | MEDICAID | 010106834 |
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