Peters, Stevany L

Peters, Stevany L is an individual health care provider with primary practice located at 5300 Elliott Dr , Ypsilanti MI 48197-8632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Peters, Stevany L can be contacted via phone (734) 434-6262.

Contact Information

Primary practice address
5300 Elliott Dr Ypsilanti MI 48197-8632
Phone: (734) 434-6262
Fax: (734) 728-2820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301094749 Michigan

Profile Details

NPI number 1275689895
LBN Legal business name Peters, Stevany L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jan 14th, 2010 - about 14 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 1275689895 NPPES
Michigan Other 0H14989 BCBS GROUP
Michigan Other 9719366 BCBS GROUP
Michigan Other 0810847 BCBS GROUP
Michigan MEDICAID 1275689895 BCBS GROUP
Michigan Other P00773688 BCBS GROUP

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