Stephens, Polly Laura

Stephens, Polly Laura is an individual health care provider with primary practice located at 601 Watkins Centre Parkway Suite 200, Midlothian VA 23114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stephens, Polly Laura can be contacted via phone (804) 594-3130.

Contact Information

Primary practice address
601 Watkins Centre Parkway Suite 200 Midlothian VA 23114
Phone: (804) 594-3130
Fax: (804) 423-6517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101057448 Virginia

Profile Details

NPI number 1477664415
LBN Legal business name Stephens, Polly Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 21st, 2013 - about 13 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 1477664415 NPPES
Virginia MEDICAID 010187311

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