Mayer, Stephen A

Mayer, Stephen A is an individual health care provider with primary practice located at 619 E Mason St Suite 4P57, Springfield IL 62701-1034. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mayer, Stephen A can be contacted via phone (217) 788-0706.

Contact Information

Primary practice address
619 E Mason St Suite 4P57 Springfield IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-077146 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-077146 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036077146 Illinois

Profile Details

NPI number 1477635506
LBN Legal business name Mayer, Stephen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Apr 14th, 2017 - about 7 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 1477635506 NPPES
Illinois MEDICAID 036077146
Illinois Other 060040345

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