Stevens, Hamilton Fredrick

Stevens, Hamilton Fredrick is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stevens, Hamilton Fredrick can be contacted via phone (601) 579-3376.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 579-3376
Fax: (601) 579-5240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10507532-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00383 Mississippi

Profile Details

NPI number 1346768819
LBN Legal business name Stevens, Hamilton Fredrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2017
Last updated Jul 28th, 2020 - about 5 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 1346768819 NPPES
Mississippi MEDICAID 04974282

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