Medlin, Stephen C
Medlin, Stephen C is an individual health care provider with primary practice located at 8081 Innovation Park Dr Fl 4 , Fairfax VA 22031-4867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Medlin, Stephen C can be contacted via phone (571) 472-1390.Contact Information
Primary practice address
8081 Innovation Park Dr Fl 4
Fairfax VA 22031-4867
Phone: (571) 472-1390
Fax: (571) 472-1391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 6042 | South Dakota |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 44942 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 34.010546 | Ohio |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 0102207694 | Virginia |
Profile Details
| NPI number | 1134195159 |
|---|---|
| LBN Legal business name | Medlin, Stephen C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jun 29th, 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 | 1134195159 | NPPES |
| Minnesota | Other | 214D7ME | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 3600766 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 253094 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 92411422911 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | MEDICAID | 1134195159 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 214D7ME | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 370624200 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 57105AH10 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | MEDICAID | 6631870 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 678061051266 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | HP79180 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 1134195159 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 4993050 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 6042 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | MEDICAID | 047908000 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | MEDICAID | 46022474342 | CC SYSTEMS/ BLUE PLUS |
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