Brown, Stafford George

Brown, Stafford George is an individual health care provider with primary practice located at 110 Kingsley Ln 305, Norfolk VA 23505-4614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brown, Stafford George can be contacted via phone (757) 889-5422.

Contact Information

Primary practice address
110 Kingsley Ln 305 Norfolk VA 23505-4614
Phone: (757) 889-5422
Fax: (757) 889-5450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101102733 Virginia

Profile Details

NPI number 1811940208
LBN Legal business name Brown, Stafford George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 6th, 2016 - about 10 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 1811940208 NPPES
Virginia MEDICAID 010082510
Virginia Other P00183157

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