Mahoney, Stephen James
Mahoney, Stephen James is an individual health care provider with primary practice located at 8051 S Emerson Ave Ste 200, Indianapolis IN 46237-8632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mahoney, Stephen James can be contacted via phone (317) 865-2955.Contact Information
Primary practice address
8051 S Emerson Ave Ste 200
Indianapolis IN 46237-8632
Phone: (317) 865-2955
Fax: (317) 865-2944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01026306 | Indiana |
Profile Details
| NPI number | 1538165378 |
|---|---|
| LBN Legal business name | Mahoney, Stephen James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jun 15th, 2010 - about 14 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 | 1538165378 | NPPES |
| Indiana | MEDICAID | 100365940 |
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