Park, Stephen Matthew
Park, Stephen Matthew is an individual health care provider with primary practice located at 700 East Woodland Dr , Saline MI 48176-1620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Park, Stephen Matthew can be contacted via phone (734) 429-2302.Contact Information
Primary practice address
700 East Woodland Dr
Saline MI 48176-1620
Phone: (734) 429-2302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301061787 | Michigan |
Profile Details
| NPI number | 1699781864 |
|---|---|
| LBN Legal business name | Park, Stephen Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Aug 5th, 2019 - about 5 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 | 1699781864 | NPPES |
| Michigan | MEDICAID | 3371174 |
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