Stephens, Donald E

Stephens, Donald E is an individual health care provider with primary practice located at 340 S Willard St , Cottonwood AZ 86326-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stephens, Donald E can be contacted via phone (928) 639-6025.

Contact Information

Primary practice address
340 S Willard St Cottonwood AZ 86326-4126
Fax: (928) 634-5604
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0079328 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01057710A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40270 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 54351 Arizona

Profile Details

NPI number 1205891215
LBN Legal business name Stephens, Donald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Sep 15th, 2020 - about 4 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 1205891215 NPPES
Indiana Other P00309839 RAILROAD MEDICARE
Indiana MEDICAID 200454180 RAILROAD MEDICARE
Indiana MEDICAID 7100005620 RAILROAD MEDICARE

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