Corder, Stephan Scott

Corder, Stephan Scott is an sole proprietor health care provider with primary practice located at 1302 S Main St Ste 10, Ottawa KS 66067-3527. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Corder, Stephan Scott can be contacted via phone (785) 242-7773.

Contact Information

Primary practice address
1302 S Main St Ste 10 Ottawa KS 66067-3527
Phone: (785) 242-7773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0418093 Kansas

Profile Details

NPI number 1174518526
LBN Legal business name Corder, Stephan Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Oct 20th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174518526 NPPES
Kansas MEDICAID 100131720A
Kansas Other 617930

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