Perry, Stephen Lane

Perry, Stephen Lane is an individual health care provider with primary practice located at 1600 Medical Pkwy , Carson City NV 89703-4625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Perry, Stephen Lane can be contacted via phone (775) 445-8795.

Contact Information

Primary practice address
1600 Medical Pkwy Carson City NV 89703-4625
Fax: (775) 445-5175
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6526 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 6526 Nevada

Profile Details

NPI number 1316943913
LBN Legal business name Perry, Stephen Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Aug 31st, 2017 - about 8 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 1316943913 NPPES
Nevada MEDICAID 002003001
Nevada MEDICAID XPY187973

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