Calvert, Stephen
Calvert, Stephen is an individual health care provider with primary practice located at 1515 N Harvard Ave Ste E, Tulsa OK 74115-4957. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Calvert, Stephen can be contacted via phone (918) 832-6049.Contact Information
Primary practice address
1515 N Harvard Ave Ste E
Tulsa OK 74115-4957
Phone: (918) 832-6049
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 22446 | Oklahoma |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22446 | Oklahoma |
Profile Details
NPI number | 1902875420 |
---|---|
LBN Legal business name | Calvert, Stephen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2006 |
Last updated | Jun 5th, 2013 - about 12 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 | 1902875420 | NPPES |
Oklahoma | MEDICAID | 200002130A |
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