Stephens, Larry Glen

Stephens, Larry Glen is an individual health care provider with primary practice located at 202 Hospital St , Moulton AL 35650-1218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stephens, Larry Glen can be contacted via phone (205) 974-2200.

Contact Information

Primary practice address
202 Hospital St Moulton AL 35650-1218
Phone: (205) 974-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 00012164 Alabama

Profile Details

NPI number 1346282282
LBN Legal business name Stephens, Larry Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1346282282 NPPES
Alabama Other 51527445STE BLUE SHIELD

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