Stephens, Scott Matthew

Stephens, Scott Matthew is an sole proprietor health care provider with primary practice located at 110 Hardin Ln Suite 10, Somerset KY 42503-3818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stephens, Scott Matthew can be contacted via phone (606) 679-9268.

Contact Information

Primary practice address
110 Hardin Ln Suite 10 Somerset KY 42503-3818
Phone: (606) 679-9268
Fax: (606) 677-1020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29795 Kentucky

Profile Details

NPI number 1457375289
LBN Legal business name Stephens, Scott Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated May 12th, 2011 - about 13 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 1457375289 NPPES
Other 61,1355693 TAX ID
MEDICAID 64297955 TAX ID
Other 29795 TAX ID

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