Gunn, Stephen Richard

Gunn, Stephen Richard is an sole proprietor health care provider with primary practice located at 911 Hal Greer Blvd , Huntington WV 25701-3701. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gunn, Stephen Richard can be contacted via phone (304) 523-1245.

Contact Information

Primary practice address
911 Hal Greer Blvd Huntington WV 25701-3701
Fax: (304) 523-0217
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2613 West Virginia

Profile Details

NPI number 1144383951
LBN Legal business name Gunn, Stephen Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 9th, 2007 - about 17 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 1144383951 NPPES
Ohio MEDICAID 0861429
Ohio MEDICAID 4002191000

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