Stephenson, Stephen

Stephenson, Stephen is an individual health care provider with primary practice located at 1663 Campus Park Dr Suite D, Monroe NC 28112-5581. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Stephenson, Stephen can be contacted via phone (704) 291-2488.

Contact Information

Primary practice address
1663 Campus Park Dr Suite D Monroe NC 28112-5581
Fax: (704) 283-0160
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 200400415 North Carolina

Profile Details

NPI number 1376561613
LBN Legal business name Stephenson, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 4th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376561613 NPPES
North Carolina MEDICAID 89138C8

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