Fern, Steven E

Fern, Steven E is an individual health care provider with primary practice located at 965 Mattox Dr , Sullivan MO 63080-2365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fern, Steven E can be contacted via phone (573) 860-6000.

Contact Information

Primary practice address
965 Mattox Dr Sullivan MO 63080-2365
Phone: (573) 860-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R8P03 Missouri

Profile Details

NPI number 1417982760
LBN Legal business name Fern, Steven E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 1st, 2023 - about 3 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 1417982760 NPPES
Other 100017272 RAILROAD MEDICARE
Other 136256 RAILROAD MEDICARE
Other 19561 RAILROAD MEDICARE
Other 4668959 RAILROAD MEDICARE
Other 1441643 RAILROAD MEDICARE
Other 006012657 RAILROAD MEDICARE
Other 270559 RAILROAD MEDICARE
MEDICAID 247962921 RAILROAD MEDICARE

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