Mcilmoil, Stephen Andrew
Mcilmoil, Stephen Andrew is an individual health care provider with primary practice located at 900 Sunset Dr , La Grande OR 97850-1387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Mcilmoil, Stephen Andrew can be contacted via phone (541) 963-8421.Contact Information
Primary practice address
900 Sunset Dr
La Grande OR 97850-1387
Phone: (541) 963-8421
Fax: (541) 963-1476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 5101019465 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | DO166905 | Oregon |
Profile Details
| NPI number | 1598052813 |
|---|---|
| LBN Legal business name | Mcilmoil, Stephen Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2011 |
| Last updated | Aug 14th, 2020 - about 4 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 | 1598052813 | NPPES |
| Oregon | MEDICAID | 500674427 |
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