Dean, Stephen M

Dean, Stephen M is an sole proprietor health care provider with primary practice located at 1099 E Hospitality Ln , San Bernardino CA 92408-2813. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dean, Stephen M can be contacted via phone (909) 478-5554.

Contact Information

Primary practice address
1099 E Hospitality Ln San Bernardino CA 92408-2813
Phone: (909) 478-5554
Fax: (909) 478-0393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT8072T California

Profile Details

NPI number 1043376528
LBN Legal business name Dean, Stephen M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1043376528 NPPES
California MEDICAID SD0080720

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