Axthelm, Stephen C
Axthelm, Stephen C is an sole proprietor health care provider with primary practice located at 1057 Lakeside Ct , Grand Junction CO 81506-2817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Axthelm, Stephen C can be contacted via phone (970) 241-5692.Contact Information
Primary practice address
1057 Lakeside Ct
Grand Junction CO 81506-2817
Phone: (970) 241-5692
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23702 | Colorado |
Profile Details
| NPI number | 1639282833 |
|---|---|
| LBN Legal business name | Axthelm, Stephen C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Apr 28th, 2011 - about 13 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 | 1639282833 | NPPES |
| Colorado | MEDICAID | 01237023 |
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