Stephens, Charles Ray

Stephens, Charles Ray is an individual health care provider with primary practice located at 2500 Belle Chasse Highway , Gretna LA 70056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stephens, Charles Ray can be contacted via phone (504) 392-3131.

Contact Information

Primary practice address
2500 Belle Chasse Highway Gretna LA 70056
Phone: (504) 392-3131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 020683 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.020683 Louisiana

Profile Details

NPI number 1457385098
LBN Legal business name Stephens, Charles Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 17th, 2008 - 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 1457385098 NPPES
Louisiana MEDICAID 1300390
Louisiana MEDICAID 00607769

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