Ledbetter, Stephen L

Ledbetter, Stephen L is an individual health care provider with primary practice located at 304 S Commercial St , Harrisburg IL 62946-2108. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ledbetter, Stephen L can be contacted via phone (618) 252-5349.

Contact Information

Primary practice address
304 S Commercial St Harrisburg IL 62946-2108
Phone: (618) 252-5349
Fax: (618) 252-1395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.030039 Illinois

Profile Details

NPI number 1275122731
LBN Legal business name Ledbetter, Stephen L
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2021
Last updated Jan 11th, 2021 - about 3 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 1275122731 NPPES
Illinois MEDICAID 3711242590503

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