Stephen, Thomas C

Stephen, Thomas C is an individual health care provider with primary practice located at 411 E Chestnut St # 5B , Louisville KY 40202-1713. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Stephen, Thomas C can be contacted via phone (502) 588-2330.

Contact Information

Primary practice address
411 E Chestnut St # 5B Louisville KY 40202-1713
Phone: (502) 588-2330
Fax: (502) 588-9513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27381 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27381 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 27381 Kentucky

Profile Details

NPI number 1922082460
LBN Legal business name Stephen, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Mar 16th, 2020 - about 5 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 1922082460 NPPES
Indiana MEDICAID 100374710
Indiana MEDICAID 64273816
Indiana MEDICAID 6427381600

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