Divers, Stephen G

Divers, Stephen G is an individual health care provider with primary practice located at 133 Harmony Park , Hot Springs AR 71913-5417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Divers, Stephen G can be contacted via phone (501) 624-7700.

Contact Information

Primary practice address
133 Harmony Park Hot Springs AR 71913-5417
Fax: (501) 623-5788
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X E4010 Arkansas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X E4010 Arkansas

Profile Details

NPI number 1760469407
LBN Legal business name Divers, Stephen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Dec 29th, 2022 - about 2 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 1760469407 NPPES
Arkansas MEDICAID 154309001
Arkansas Other P00115171

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