Avalos, Stephen Michael
Avalos, Stephen Michael is an individual health care provider with primary practice located at 305 Park Creek Dr , Clovis CA 93611-4426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Avalos, Stephen Michael can be contacted via phone (559) 326-2815.Contact Information
Primary practice address
305 Park Creek Dr
Clovis CA 93611-4426
Phone: (559) 326-2815
Fax: (553) 326-2801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | G56424 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | G56424 | California |
Profile Details
| NPI number | 1962444836 |
|---|---|
| LBN Legal business name | Avalos, Stephen Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Dec 21st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962444836 | NPPES |
| California | MEDICAID | 00G564240 | |
| California | Other | 220013817 |
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