Stephens, John Edward

Stephens, John Edward is an individual health care provider with primary practice located at 4631 N Congress Ave Ste 101 , West Palm Beach FL 33407-3238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Stephens, John Edward can be contacted via phone (561) 840-1960.

Contact Information

Primary practice address
4631 N Congress Ave Ste 101 West Palm Beach FL 33407-3238
Fax: (561) 863-8155
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME 92461 Florida

Profile Details

NPI number 1093780132
LBN Legal business name Stephens, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jun 1st, 2020 - about 5 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 1093780132 NPPES
Florida MEDICAID 272288700

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