Odom, Stephen Ray
Odom, Stephen Ray is an individual health care provider with primary practice located at 14 Medical Park Dr , Asheville NC 28803-2493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Odom, Stephen Ray can be contacted via phone (828) 252-3366.Contact Information
Primary practice address
14 Medical Park Dr
Asheville NC 28803-2493
Phone: (828) 252-3366
Fax: (828) 258-0891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 43996 | Colorado |
Profile Details
| NPI number | 1639153257 |
|---|---|
| LBN Legal business name | Odom, Stephen Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | May 16th, 2018 - about 6 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 | 1639153257 | NPPES |
| Colorado | MEDICAID | 33452555 | |
| Colorado | Other | P00255737 | |
| Colorado | Other | 840255530039 |
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