Stephens, Todd Russell

Stephens, Todd Russell is an individual health care provider with primary practice located at 2720 Stone Park Blvd , Sioux City IA 51104-3734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stephens, Todd Russell can be contacted via phone (712) 279-3285.

Contact Information

Primary practice address
2720 Stone Park Blvd Sioux City IA 51104-3734
Phone: (712) 279-3285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 3492 Iowa

Profile Details

NPI number 1598725707
LBN Legal business name Stephens, Todd Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Sep 17th, 2013 - about 11 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 1598725707 NPPES
Iowa MEDICAID 0284703
Iowa MEDICAID 7706150
Iowa Other P00013853
Iowa Other 34129
Iowa Other 34130

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