Idell, Steven
Idell, Steven is an individual health care provider with primary practice located at 11937 Us Highway 271 , Tyler TX 75708-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Idell, Steven can be contacted via phone (903) 877-7777.Contact Information
Primary practice address
11937 Us Highway 271
Tyler TX 75708-3154
Phone: (903) 877-7777
Fax: (903) 877-5838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G7531 | Texas |
Profile Details
| NPI number | 1366431538 |
|---|---|
| LBN Legal business name | Idell, Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Oct 21st, 2016 - about 9 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 | 1366431538 | NPPES |
| Texas | MEDICAID | 118896303 |
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