Earle, Stephen Edward
Earle, Stephen Edward is an individual health care provider with primary practice located at 12315 Judson Rd # 208, Live Oak TX 78233-3277. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Earle, Stephen Edward can be contacted via phone (210) 872-6572.Contact Information
Primary practice address
12315 Judson Rd # 208
Live Oak TX 78233-3277
Phone: (210) 872-6572
Fax: (210) 651-5137
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | F3917 | Texas |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | F3917 | Texas |
Profile Details
NPI number | 1013914498 |
---|---|
LBN Legal business name | Earle, Stephen Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Oct 6th, 2009 - about 15 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 | 1013914498 | NPPES |
Texas | MEDICAID | 169383001 | |
Texas | MEDICAID | 033081302 | |
Texas | Other | 201626736 | |
Texas | Other | 602044900 |
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