Stephens, Burl C

Stephens, Burl C is an sole proprietor health care provider with primary practice located at 4315 Diplomacy Dr Attn: Sherry Reedy, Anchorage AK 99508-5926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Stephens, Burl C can be contacted via phone (907) 729-3971.

Contact Information

Primary practice address
4315 Diplomacy Dr Attn: Sherry Reedy Anchorage AK 99508-5926
Fax: (907) 729-1542
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 841 Alaska

Profile Details

NPI number 1083647994
LBN Legal business name Stephens, Burl C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 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 1083647994 NPPES
Alaska MEDICAID MD9118

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