Eubanks, Stephen W

Eubanks, Stephen W is an individual health care provider with primary practice located at 1720 Dunlawton Ave Ste 2 , Port Orange FL 32127-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Eubanks, Stephen W can be contacted via phone (386) 322-8310.

Contact Information

Primary practice address
1720 Dunlawton Ave Ste 2 Port Orange FL 32127-2916
Phone: (386) 322-8310
Fax: (386) 322-8370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 23922 Colorado
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME133377 Florida

Profile Details

NPI number 1942302799
LBN Legal business name Eubanks, Stephen W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Mar 17th, 2018 - about 6 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 1942302799 NPPES
Colorado MEDICAID 01239227
Colorado Other 070014537
Colorado Other 30757
Colorado Other 84-1511239

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