Vandiviere, Marcus Stuart
Vandiviere, Marcus Stuart is an sole proprietor health care provider with primary practice located at 436 Hospital Dr , Warrenton VA 20186-3026. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Vandiviere, Marcus Stuart can be contacted via phone (540) 347-1596.Contact Information
Primary practice address
436 Hospital Dr
Warrenton VA 20186-3026
Phone: (540) 347-1596
Fax: (540) 347-2936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701001404 | Virginia |
Profile Details
| NPI number | 1487772356 |
|---|---|
| LBN Legal business name | Vandiviere, Marcus Stuart |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1487772356 | NPPES |
| Virginia | Other | 056236 | ANTHEM BLUE CROSS |
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