Roussel, George A

Roussel, George A is an individual health care provider with primary practice located at 1937 Medical Ave , Harrisonburg VA 22801-3437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roussel, George A can be contacted via phone (540) 433-6967.

Contact Information

Primary practice address
1937 Medical Ave Harrisonburg VA 22801-3437
Phone: (540) 433-6967
Fax: (540) 433-1328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101026546 Virginia

Profile Details

NPI number 1821026535
LBN Legal business name Roussel, George A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1821026535 NPPES
Virginia Other 051127 BLUE SHIELD
Virginia Other 114819 BLUE SHIELD
Virginia MEDICAID 6004598 BLUE SHIELD

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