Nevin, Marc G

Nevin, Marc G is an sole proprietor health care provider with primary practice located at 4311 Appleton Ave Nw , Roanoke VA 24017-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nevin, Marc G can be contacted via phone (540) 520-9856.

Contact Information

Primary practice address
4311 Appleton Ave Nw Roanoke VA 24017-2111
Fax: (540) 344-7154
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101027837 Virginia

Profile Details

NPI number 1124028642
LBN Legal business name Nevin, Marc G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2005
Last updated Aug 26th, 2015 - about 10 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 1124028642 NPPES
Virginia MEDICAID 005609241
Virginia Other 183679

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