Degray, Stephen Alan
Degray, Stephen Alan is an sole proprietor health care provider with primary practice located at Westwood Medical Park Unit 7, Bluefield VA 24605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Degray, Stephen Alan can be contacted via phone (276) 322-5641.Contact Information
Primary practice address
Westwood Medical Park Unit 7
Bluefield VA 24605
Phone: (276) 322-5641
Fax: (276) 322-5189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101039286 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10867 | West Virginia |
Profile Details
| NPI number | 1326073321 |
|---|---|
| LBN Legal business name | Degray, Stephen Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 11th, 2008 - 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 | 1326073321 | NPPES |
| West Virginia | MEDICAID | 0055063000 | |
| West Virginia | MEDICAID | 5603781 | |
| West Virginia | MEDICAID | 005603781 |
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