Myron, Stephen R.

Myron, Stephen R. is an individual health care provider with primary practice located at 430 W Votaw St , Portland IN 47371-1302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Myron, Stephen R. can be contacted via phone (260) 726-6515.

Contact Information

Primary practice address
430 W Votaw St Portland IN 47371-1302
Phone: (260) 726-6515
Fax: (260) 726-2814
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01029521A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102951A Indiana

Profile Details

NPI number 1801889142
LBN Legal business name Myron, Stephen R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Mar 29th, 2022 - 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 1801889142 NPPES
Indiana MEDICAID 100348530

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