Rea, William S

Rea, William S is an individual health care provider with primary practice located at 2017 Jefferson St Sw , Roanoke VA 24014-2419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Rea, William S can be contacted via phone (540) 981-8025.

Contact Information

Primary practice address
2017 Jefferson St Sw Roanoke VA 24014-2419
Phone: (540) 981-8025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 0101-226458 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101-226458 Virginia

Profile Details

NPI number 1154303618
LBN Legal business name Rea, William S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Aug 12th, 2011 - about 15 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 1154303618 NPPES
Virginia MEDICAID 1154303618

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