Bishop, Stephen Willard

Bishop, Stephen Willard is an individual health care provider with primary practice located at 9912 E Grand River Ave Ste 1000 , Brighton MI 48116-1973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bishop, Stephen Willard can be contacted via phone (810) 588-4214.

Contact Information

Primary practice address
9912 E Grand River Ave Ste 1000 Brighton MI 48116-1973
Fax: (810) 588-4353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301047475 Michigan

Profile Details

NPI number 1326045659
LBN Legal business name Bishop, Stephen Willard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 21st, 2021 - 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 1326045659 NPPES
Michigan Other 5046170 AETNA
Michigan Other 785500 AETNA
Michigan Other P00221534 AETNA
Michigan MEDICAID 3186078 AETNA
Michigan MEDICAID 4561450 AETNA
Michigan Other 108045 AETNA
Michigan Other 147144 AETNA
Michigan Other 665-1 AETNA
Michigan Other 080H215880 AETNA

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