Harrison, Stephen G.

Harrison, Stephen G. is an individual health care provider with primary practice located at 1830 Town Center Dr Suite # 205, Reston VA 20190-3292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Harrison, Stephen G. can be contacted via phone (703) 435-3636.

Contact Information

Primary practice address
1830 Town Center Dr Suite # 205 Reston VA 20190-3292
Phone: (703) 435-3636
Fax: (703) 435-9145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101028882 Virginia

Profile Details

NPI number 1750342333
LBN Legal business name Harrison, Stephen G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1750342333 NPPES
Virginia MEDICAID 6709559

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