Stephens, Sandy

Stephens, Sandy is an individual health care provider with primary practice located at 500 Salem St , Wilmington MA 01887-1200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stephens, Sandy can be contacted via phone (978) 988-6209.

Contact Information

Primary practice address
500 Salem St Wilmington MA 01887-1200
Fax: (978) 988-6139
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 76058 Massachusetts

Profile Details

NPI number 1225029648
LBN Legal business name Stephens, Sandy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1225029648 NPPES
Massachusetts MEDICAID 3101274

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