Himmelstein, Stevan I
Himmelstein, Stevan I is an individual health care provider with primary practice located at 1211 Union Ave Ste 965 , Memphis TN 38104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Himmelstein, Stevan I can be contacted via phone (901) 435-8550.Contact Information
Primary practice address
1211 Union Ave Ste 965
Memphis TN 38104
Phone: (901) 435-8550
Fax: (901) 516-0933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 12664 | Mississippi |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 20638 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 12664 | Mississippi |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 20638 | Tennessee |
Profile Details
| NPI number | 1902883481 |
|---|---|
| LBN Legal business name | Himmelstein, Stevan I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jun 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902883481 | NPPES |
| Arkansas | MEDICAID | 117357001 | |
| Arkansas | Other | 6092182 | |
| Arkansas | MEDICAID | 00115478 | |
| Arkansas | MEDICAID | 3807173 |
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