Mize, Steven Dwayne
Mize, Steven Dwayne is an sole proprietor health care provider with primary practice located at 606 Broad St , South Boston VA 24592-3200. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Mize, Steven Dwayne can be contacted via phone (434) 575-5200.Contact Information
Primary practice address
606 Broad St
South Boston VA 24592-3200
Phone: (434) 575-5200
Fax: (434) 575-5054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1538670013 |
|---|---|
| LBN Legal business name | Mize, Steven Dwayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2017 |
| Last updated | Oct 24th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538670013 | NPPES |
| Virginia | MEDICAID | 1255419164 |
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