Laderberg, Steven Michael
Laderberg, Steven Michael is an individual health care provider with primary practice located at 5308 Providence Rd , Virginia Beach VA 23464-4102. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Laderberg, Steven Michael can be contacted via phone (757) 499-2020.Contact Information
Primary practice address
5308 Providence Rd
Virginia Beach VA 23464-4102
Phone: (757) 499-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000078 | Virginia |
Profile Details
| NPI number | 1538155577 |
|---|---|
| LBN Legal business name | Laderberg, Steven Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jan 14th, 2010 - about 16 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 | 1538155577 | NPPES |
| Virginia | MEDICAID | 009203699 |
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