Stevens, Joel Thomas
Stevens, Joel Thomas is an individual health care provider with primary practice located at 856 Mankato Ave , Winona MN 55987. 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, Joel Thomas can be contacted via phone (507) 864-7726.Contact Information
Primary practice address
856 Mankato Ave
Winona MN 55987
Phone: (507) 864-7726
Fax: (507) 864-2668
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001596 | Iowa |
Profile Details
NPI number | 1245255421 |
---|---|
LBN Legal business name | Stevens, Joel Thomas |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1245255421 | NPPES |
Iowa | MEDICAID | 38004 |
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