Stephenson, Keith R
Stephenson, Keith R is an individual health care provider with primary practice located at 2900 Lamb Cir Suite 300, Christiansburg VA 24073-6344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stephenson, Keith R can be contacted via phone (540) 639-5900.Contact Information
Primary practice address
2900 Lamb Cir Suite 300
Christiansburg VA 24073-6344
Phone: (540) 639-5900
Fax: (540) 639-0976
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101-233788 | Virginia |
Profile Details
NPI number | 1598746018 |
---|---|
LBN Legal business name | Stephenson, Keith R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 10th, 2005 |
Last updated | Aug 12th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598746018 | NPPES |
Virginia | MEDICAID | 007313420 | |
Virginia | MEDICAID | 010269024 | |
Virginia | MEDICAID | 007313411 | |
Virginia | MEDICAID | 007313560 |
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