Stephens, Brian T

Stephens, Brian T is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stephens, Brian T can be contacted via phone (573) 636-5248.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 636-5248
Fax: (573) 636-9390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD2001008551 Missouri

Profile Details

NPI number 1760485718
LBN Legal business name Stephens, Brian T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
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 1760485718 NPPES
Missouri Other 2000096869 BNDD
Missouri MEDICAID 205405707 BNDD

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