Prover, Stephen Erwin
Prover, Stephen Erwin is an individual health care provider with primary practice located at 23326 Hawthorne Blvd Suite #375, Torrance CA 90505-3725. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Prover, Stephen Erwin can be contacted via phone (310) 373-0527.Contact Information
Primary practice address
23326 Hawthorne Blvd Suite #375
Torrance CA 90505-3725
Phone: (310) 373-0527
Fax: (310) 373-6915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A034057 | California |
Profile Details
| NPI number | 1902860539 |
|---|---|
| LBN Legal business name | Prover, Stephen Erwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | May 7th, 2009 - about 15 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 | 1902860539 | NPPES |
| California | Other | W9172 | MEDICARE PTAN |
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