Leary, Stephen Micheal
Leary, Stephen Micheal is an individual health care provider with primary practice located at 147 Sw Shevlin Hixon Dr Suite 104, Bend OR 97702-3130. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Leary, Stephen Micheal can be contacted via phone (541) 312-2252.Contact Information
Primary practice address
147 Sw Shevlin Hixon Dr Suite 104
Bend OR 97702-3130
Phone: (541) 312-2252
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 4885 | Oregon |
Profile Details
| NPI number | 1548482672 |
|---|---|
| LBN Legal business name | Leary, Stephen Micheal |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Mar 8th, 2013 - about 12 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 | 1548482672 | NPPES |
| Oregon | Other | J6507-02 | PACIFIC SOURCE PIN |
| Oregon | Other | 840573000 | PACIFIC SOURCE PIN |
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