Sides, Stephen D.

Sides, Stephen D. is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Sides, Stephen D. can be contacted via phone (573) 635-5264.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 635-5264
Fax: (573) 761-4351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2001001591 Missouri
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2001001591 Missouri

Profile Details

NPI number 1366428914
LBN Legal business name Sides, Stephen D.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Aug 10th, 2023 - about 2 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 1366428914 NPPES
Missouri Other P00143530 MEDICARE RAILROAD
Missouri Other CD6058 MEDICARE RAILROAD
Missouri MEDICAID 245300611 MEDICARE RAILROAD
Missouri Other 191077 MEDICARE RAILROAD
Missouri Other 461803 MEDICARE RAILROAD

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