Proffer, Dirk Stanton

Proffer, Dirk Stanton is an individual health care provider with primary practice located at 600 Gresham Dr Ste 204 , Norfolk VA 23507-1904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Proffer, Dirk Stanton can be contacted via phone (757) 388-5680.

Contact Information

Primary practice address
600 Gresham Dr Ste 204 Norfolk VA 23507-1904
Phone: (757) 388-5680
Fax: (757) 388-5681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101049448 Virginia

Profile Details

NPI number 1558338053
LBN Legal business name Proffer, Dirk Stanton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Nov 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558338053 NPPES
Virginia MEDICAID 006408770

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