Stephens, Micheal D

Stephens, Micheal D is an individual health care provider with primary practice located at 110 W Utica St , Oswego NY 13126-3057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stephens, Micheal D can be contacted via phone (315) 342-2024.

Contact Information

Primary practice address
110 W Utica St Oswego NY 13126-3057
Fax: (315) 343-5317
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 231144 New York

Profile Details

NPI number 1659317980
LBN Legal business name Stephens, Micheal D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 29th, 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 1659317980 NPPES
New York MEDICAID 02528756

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