Provider Demographics
NPI:1003891813
Name:FRELIER, STEVEN R (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:FRELIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 CLAREMONT CT
Mailing Address - Street 2:SUITE 213
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-1770
Mailing Address - Country:US
Mailing Address - Phone:804-520-2626
Mailing Address - Fax:804-520-0626
Practice Address - Street 1:430 CLAREMONT CT
Practice Address - Street 2:SUITE 213
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-1770
Practice Address - Country:US
Practice Address - Phone:804-520-2626
Practice Address - Fax:804-520-0626
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301069282207R00000X
VA0101244352207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104316121Medicaid
VA1003891813OtherANTHEM BCBS
VA1003891813Medicaid
1003894813OtherBCBS
1105100311OtherBC
1003894813OtherBCBS
1105100311OtherBC
ON32510Medicare ID - Type Unspecified
VAVV0139AMedicare PIN