Vivian, Stephan J

Vivian, Stephan J is an individual health care provider with primary practice located at 500 J Clyde Morris Blvd Fl Annex1 , Newport News VA 23601-1929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Vivian, Stephan J can be contacted via phone (757) 594-2074.

Contact Information

Primary practice address
500 J Clyde Morris Blvd Fl Annex1 Newport News VA 23601-1929
Phone: (757) 594-2074
Fax: (757) 594-3369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35059262V Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01081770A Indiana
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 0101242715 Virginia

Profile Details

NPI number 1619975877
LBN Legal business name Vivian, Stephan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Feb 7th, 2022 - about 4 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 1619975877 NPPES
Virginia MEDICAID 1619975877
Virginia Other P00445778

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