Ezzo, Stephen James

Ezzo, Stephen James is an individual health care provider with primary practice located at 1401 Matthews Township Pkwy Suite 100, Matthews NC 28105-5402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ezzo, Stephen James can be contacted via phone (704) 384-1080.

Contact Information

Primary practice address
1401 Matthews Township Pkwy Suite 100 Matthews NC 28105-5402
Phone: (704) 384-1080
Fax: (704) 384-1122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31983 North Carolina

Profile Details

NPI number 1386616118
LBN Legal business name Ezzo, Stephen James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386616118 NPPES
South Carolina MEDICAID N31983
South Carolina MEDICAID 8930983

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