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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497739627 NPPES
Virginia MEDICAID 5623065
Virginia MEDICAID 5624410

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