Stockburger, Robert
Stockburger, Robert is an individual health care provider with primary practice located at 1420 N Main St , Blacksburg VA 24060-2522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stockburger, Robert can be contacted via phone (540) 951-8380.Contact Information
Primary practice address
1420 N Main St
Blacksburg VA 24060-2522
Phone: (540) 951-8380
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101-026605 | Virginia |
Profile Details
NPI number | 1497739627 |
---|---|
LBN Legal business name | Stockburger, Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 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 | 1497739627 | NPPES |
Virginia | MEDICAID | 5623065 | |
Virginia | MEDICAID | 5624410 |
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