Stephenson, Larry L

Stephenson, Larry L is an individual health care provider with primary practice located at 440 Hospital Dr , Warrenton VA 20186-3026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Stephenson, Larry L can be contacted via phone (540) 347-1600.

Contact Information

Primary practice address
440 Hospital Dr Warrenton VA 20186-3026
Fax: (540) 349-0902
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101033527 Virginia

Profile Details

NPI number 1386618114
LBN Legal business name Stephenson, Larry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1386618114 NPPES
Virginia Other 012295 ANTHEM
Virginia Other 0500155 ANTHEM
Virginia Other 321142 ANTHEM
Virginia Other C1620001 ANTHEM
Virginia MEDICAID 6103936 ANTHEM

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