Rivard, Stephen Paul

Rivard, Stephen Paul is an sole proprietor health care provider with primary practice located at 22285 N. Pepper Rd. Bldg 100, Suite 105 Illinois Vein Specialists, Lake Barrington IL 60010-2539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Rivard, Stephen Paul can be contacted via phone (847) 277-9100.

Contact Information

Primary practice address
22285 N. Pepper Rd. Bldg 100, Suite 105 Illinois Vein Specialists Lake Barrington IL 60010-2539
Phone: (847) 277-9100
Fax: (847) 277-9110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036064684 Illinois
Other Service Providers / Specialist 174400000X 036064684 Illinois

Profile Details

NPI number 1962416321
LBN Legal business name Rivard, Stephen Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Mar 24th, 2015 - about 9 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 1962416321 NPPES
Illinois MEDICAID 036064684
Illinois Other 930009892

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