Stephens, Richard Penn

Stephens, Richard Penn is an individual health care provider with primary practice located at 7221 Engle Rd Ste 220 , Fort Wayne IN 46804-2233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stephens, Richard Penn can be contacted via phone (260) 432-1568.

Contact Information

Primary practice address
7221 Engle Rd Ste 220 Fort Wayne IN 46804-2233
Phone: (260) 432-1568
Fax: (260) 432-4969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01031973 Indiana

Profile Details

NPI number 1417928532
LBN Legal business name Stephens, Richard Penn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 24th, 2024 - about last year

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 1417928532 NPPES
Indiana MEDICAID 100320830
Indiana MEDICAID 1417928532
Indiana MEDICAID 0780409

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