Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 0101052798 | VA |
Y | 207X00000X | Orthopaedic Surgeon | 0101052798 | VA |
NPI | 1750303962 |
---|---|
Provider Name | Mr. Stephen C Saddler |
First Address | Arlington, VA 22206-2905 |
Second Address | Alexandria, VA 22306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 21/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
145530100 | DEPARTMENT OF LABOR (01) | |
46950042 | CAREFIRST NCA (01) | |
786175YZW | METRO MEDICARE (01) | |
F52012 | (02) | VA |
P00887809 | RAILRAOD MEDICARE PTAN (01) |