Shorts, Stephen Donald
Shorts, Stephen Donald is an individual health care provider with primary practice located at 1722 W 42Nd Ave , Pine Bluff AR 71603-7008. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Shorts, Stephen Donald can be contacted via phone (870) 535-5719.Contact Information
Primary practice address
1722 W 42Nd Ave
Pine Bluff AR 71603-7008
Phone: (870) 535-5719
Fax: (870) 536-1963
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | R3276 | Arkansas |
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | R3276 | Arkansas |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | R3276 | Arkansas |
Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | R3276 | Arkansas |
Profile Details
NPI number | 1992771174 |
---|---|
LBN Legal business name | Shorts, Stephen Donald |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2006 |
Last updated | Apr 30th, 2019 - about 6 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 | 1992771174 | NPPES |
Arkansas | MEDICAID | 103062001 | |
Arkansas | Other | 54826 |
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