Siegel, Gary Richard

Siegel, Gary Richard is an individual health care provider with primary practice located at 933 First Colonial Rd Suite 100, Virginia Beach VA 23454-3172. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Siegel, Gary Richard can be contacted via phone (757) 491-7359.

Contact Information

Primary practice address
933 First Colonial Rd Suite 100 Virginia Beach VA 23454-3172
Phone: (757) 491-7359
Fax: (757) 491-9359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101035397 Virginia

Profile Details

NPI number 1952398778
LBN Legal business name Siegel, Gary Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Apr 10th, 2015 - about 9 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 1952398778 NPPES
Virginia Other 030161 ANTHEM BCBS
Virginia Other 030161 ANTHEM BCBS
Virginia Other 7906796 ANTHEM BCBS
Virginia MEDICAID 006064833 ANTHEM BCBS
Virginia Other 97565 ANTHEM BCBS
Virginia Other 006064833 ANTHEM BCBS
Virginia Other 228987 ANTHEM BCBS

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