Fann, Stephen Austin

Fann, Stephen Austin is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Fann, Stephen Austin can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21250 South Carolina
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 21250 South Carolina
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 21250 South Carolina

Profile Details

NPI number 1366409161
LBN Legal business name Fann, Stephen Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Dec 15th, 2011 - about 14 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 1366409161 NPPES
South Carolina MEDICAID 212503

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