Stephens, Richard Ervin

Stephens, Richard Ervin is an individual health care provider with primary practice located at 2300 Manchester Expy Ste B001, Columbus GA 31904-6808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Stephens, Richard Ervin can be contacted via phone (706) 324-4891.

Contact Information

Primary practice address
2300 Manchester Expy Ste B001 Columbus GA 31904-6808
Fax: (706) 576-4958
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 057499 Georgia

Profile Details

NPI number 1003858861
LBN Legal business name Stephens, Richard Ervin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 7th, 2015 - about 9 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 1003858861 NPPES
Georgia Other 202I169638 MEDICARE PTAN
Georgia MEDICAID 531800006C MEDICARE PTAN

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