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Contact Information

ROOSEVELT DEAN JR, DO
11131 JOURNAL PARKWAY
KING GEORGE, VA22485
 Phone: 540-625-2527
 Fax: 540-709-7211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROOSEVELT DEAN JR · (Male)

NPI Number 1245486802
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/14/2008
Last updated 03/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0102202137
  • VA Medicaid 1245486802
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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