Somers, Stephanie

Somers, Stephanie is an individual health care provider with primary practice located at 5082 Lovers Ln , Portage MI 49002-1557. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Somers, Stephanie can be contacted via phone (269) 381-0118.

Contact Information

Primary practice address
5082 Lovers Ln Portage MI 49002-1557
Fax: (269) 381-4610
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301070332 Michigan

Profile Details

NPI number 1972582302
LBN Legal business name Somers, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Mar 7th, 2023 - about last year

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 1972582302 NPPES
Michigan Other 1231911 PHP
Michigan MEDICAID 3378353 PHP
Michigan Other P61269 PHP
Michigan Other 3503903762 PHP
Michigan Other 4301070332 PHP

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