Stevens, Faustin R

Stevens, Faustin R is an individual health care provider with primary practice located at 6703 W Rio Grande Ave , Kennewick WA 99336-2623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Stevens, Faustin R can be contacted via phone (509) 460-5588.

Contact Information

Primary practice address
6703 W Rio Grande Ave Kennewick WA 99336-2623
Fax: (509) 783-5438
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60261135 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X BP10024992 Texas
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X MD60261135 Washington

Profile Details

NPI number 1942400536
LBN Legal business name Stevens, Faustin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 16th, 2019 - about 6 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 1942400536 NPPES
Washington MEDICAID 2020965
Washington Other 293885
Washington Other P01101576

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