Defriez, Stephen D
Defriez, Stephen D is an individual health care provider with primary practice located at 501 S Ballenger Hwy Suite B, Flint MI 48532-3641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Defriez, Stephen D can be contacted via phone (810) 342-4800.Contact Information
Primary practice address
501 S Ballenger Hwy Suite B
Flint MI 48532-3641
Phone: (810) 342-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0102207752 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5101014531 | Michigan |
Profile Details
| NPI number | 1639111966 |
|---|---|
| LBN Legal business name | Defriez, Stephen D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 8th, 2023 - about last year |
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 | 1639111966 | NPPES |
| Michigan | Other | 300B560780 | BCBS |
| Michigan | MEDICAID | 4767650 | BCBS |
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