National Provider Identifier Database

MEDSOURCE LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

MEDSOURCE, LLC
3909 MIDLANDS ROAD,
SUITE: B
WILLIAMSBURG, VA23188
Phone: 757-220-5051
Fax: 757-220-5053
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for MEDSOURCE, LLC

NPI Number 1487886537
Legal business name
LBN
MEDSOURCE, LLC
Authorized official RAY GAGNE - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 08/21/2009
Last updated 08/21/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0101051020

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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