Brown, Stephen Theodore
Brown, Stephen Theodore is an individual health care provider with primary practice located at 3426 Lake Ave 120, Pueblo CO 81004-3877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Brown, Stephen Theodore can be contacted via phone (719) 561-5264.Contact Information
Primary practice address
3426 Lake Ave 120
Pueblo CO 81004-3877
Phone: (719) 561-5264
Fax: (719) 561-5272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 28795 | Colorado |
Profile Details
| NPI number | 1952309817 |
|---|---|
| LBN Legal business name | Brown, Stephen Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Nov 2nd, 2007 - about 18 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 | 1952309817 | NPPES |
| Colorado | MEDICAID | 01287952 |
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