Stephenson, Keith R

Stephenson, Keith R is an individual health care provider with primary practice located at 2900 Lamb Cir Suite 300, Christiansburg VA 24073-6344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stephenson, Keith R can be contacted via phone (540) 639-5900.

Contact Information

Primary practice address
2900 Lamb Cir Suite 300 Christiansburg VA 24073-6344
Phone: (540) 639-5900
Fax: (540) 639-0976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101-233788 Virginia

Profile Details

NPI number 1598746018
LBN Legal business name Stephenson, Keith R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 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 1598746018 NPPES
Virginia MEDICAID 007313420
Virginia MEDICAID 010269024
Virginia MEDICAID 007313411
Virginia MEDICAID 007313560

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