Stephens, Michael Scott

Stephens, Michael Scott is an individual health care provider with primary practice located at 405 W Country Club Rd , Roswell NM 88201-5209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stephens, Michael Scott can be contacted via phone (505) 622-2714.

Contact Information

Primary practice address
405 W Country Club Rd Roswell NM 88201-5209
Phone: (505) 622-2714
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2000-297 New Mexico

Profile Details

NPI number 1639128606
LBN Legal business name Stephens, Michael Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 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 1639128606 NPPES
New Mexico MEDICAID 56300051

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