Stephenson, Shelby A
Stephenson, Shelby A is an sole proprietor health care provider with primary practice located at 1629 Owen Dr , Fayetteville NC 28304-3425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stephenson, Shelby A can be contacted via phone (910) 484-2284.Contact Information
Primary practice address
1629 Owen Dr
Fayetteville NC 28304-3425
Phone: (910) 484-2284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 24950 | North Carolina |
Profile Details
| NPI number | 1639136229 |
|---|---|
| LBN Legal business name | Stephenson, Shelby A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Aug 21st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639136229 | NPPES |
| North Carolina | Other | 180018924 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 8979732 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 8979731 | RAILROAD MEDICARE |
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