Stephan, Mark T.

Stephan, Mark T. is an individual health care provider with primary practice located at 2311 Kaliste Saloom Rd , Lafayette LA 70508-6807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stephan, Mark T. can be contacted via phone (337) 261-5151.

Contact Information

Primary practice address
2311 Kaliste Saloom Rd Lafayette LA 70508-6807
Phone: (337) 261-5151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 16703 Louisiana

Profile Details

NPI number 1578550794
LBN Legal business name Stephan, Mark T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Oct 26th, 2007 - about 18 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 1578550794 NPPES
Louisiana Other P00139272 RAILROAD MEDICARE
Louisiana MEDICAID 1389552 RAILROAD MEDICARE

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