Vernon, Samuel D

Vernon, Samuel D is an individual health care provider with primary practice located at 1070 Terrace Dr , Marion VA 24354-4138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vernon, Samuel D can be contacted via phone (276) 781-2225.

Contact Information

Primary practice address
1070 Terrace Dr Marion VA 24354-4138
Phone: (276) 781-2225
Fax: (276) 783-8843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101025422 Virginia

Profile Details

NPI number 1285631796
LBN Legal business name Vernon, Samuel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285631796 NPPES
Virginia Other 202760 BLACK LUNG
Virginia MEDICAID 1285631796 BLACK LUNG
Virginia Other P00197424 BLACK LUNG
Virginia Other 0385921 BLACK LUNG
Virginia Other 144631 BLACK LUNG

Popular Providers