Stephens, Daniel A

Stephens, Daniel A is an individual health care provider with primary practice located at 3950 Hollywood Rd Suite 100, Saint Joseph MI 49085-9151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stephens, Daniel A can be contacted via phone (269) 429-0900.

Contact Information

Primary practice address
3950 Hollywood Rd Suite 100 Saint Joseph MI 49085-9151
Phone: (269) 429-0900
Fax: (269) 408-0996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301404254 Michigan

Profile Details

NPI number 1831127463
LBN Legal business name Stephens, Daniel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 7th, 2023 - about 2 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 1831127463 NPPES
Michigan Other 27-0381199 GROUP TAX ID
Michigan Other 1538397120 GROUP TAX ID
Michigan Other 0201109862 GROUP TAX ID
Michigan MEDICAID 1831127463 GROUP TAX ID
Michigan Other MI2051 GROUP TAX ID

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