Remine, Stephen Gordon

Remine, Stephen Gordon is an individual health care provider with primary practice located at 3 Riverside Circle Dept Of Surgery, Roanoke VA 24016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Remine, Stephen Gordon can be contacted via phone (540) 224-5170.

Contact Information

Primary practice address
3 Riverside Circle Dept Of Surgery Roanoke VA 24016
Phone: (540) 224-5170
Fax: (540) 983-8212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301076893 Michigan

Profile Details

NPI number 1215939426
LBN Legal business name Remine, Stephen Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 6th, 2011 - about 15 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 1215939426 NPPES
Michigan MEDICAID 424506610
Michigan Other 4301076893
Michigan MEDICAID 010174767
Michigan MEDICAID 010174759

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