Cantor, Stephen A

Cantor, Stephen A is an individual health care provider with primary practice located at 726 Gail Gardner Way Suite B, Prescott AZ 86305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cantor, Stephen A can be contacted via phone (928) 778-0309.

Contact Information

Primary practice address
726 Gail Gardner Way Suite B Prescott AZ 86305
Fax: (928) 778-2678
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 22564 Arizona

Profile Details

NPI number 1730188095
LBN Legal business name Cantor, Stephen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 20th, 2018 - about 6 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 1730188095 NPPES
Arizona MEDICAID 179558

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