Stephen, James G.

Stephen, James G. is an individual health care provider with primary practice located at 2185 W Grant Line Rd , Tracy CA 95377-7309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stephen, James G. can be contacted via phone (209) 839-3200.

Contact Information

Primary practice address
2185 W Grant Line Rd Tracy CA 95377-7309
Phone: (209) 839-3200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G53586 California

Profile Details

NPI number 1144308032
LBN Legal business name Stephen, James G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1144308032 NPPES
California MEDICAID 00G535860

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