Self, Stephen Bender
Self, Stephen Bender is an individual health care provider with primary practice located at 201 Abraham Flexner Way Suite 1004, Louisville KY 40202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Self, Stephen Bender can be contacted via phone (502) 589-3173.Contact Information
Primary practice address
201 Abraham Flexner Way Suite 1004
Louisville KY 40202
Phone: (502) 589-3173
Fax: (502) 589-6751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01046196 | Indiana |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 24711 | Kentucky |
Profile Details
| NPI number | 1174557037 |
|---|---|
| LBN Legal business name | Self, Stephen Bender |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Oct 27th, 2020 - about 4 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 | 1174557037 | NPPES |
| Indiana | MEDICAID | 100389000A-KOHMG | |
| Indiana | MEDICAID | 64247117 |
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