Chouteau, Stephen Lawrence
Chouteau, Stephen Lawrence is an individual health care provider with primary practice located at 102 Metroplex Blvd Ste B , Pearl MS 39208-9202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chouteau, Stephen Lawrence can be contacted via phone (601) 664-2658.Contact Information
Primary practice address
102 Metroplex Blvd Ste B
Pearl MS 39208-9202
Phone: (601) 664-2658
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 09094 | Mississippi |
Profile Details
| NPI number | 1912956632 |
|---|---|
| LBN Legal business name | Chouteau, Stephen Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Mar 27th, 2012 - about 14 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 | 1912956632 | NPPES |
| Mississippi | MEDICAID | 00122276 |
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