Stevens, John B
Stevens, John B is an individual health care provider with primary practice located at 4038 West Rd , Cortland NY 13045-1842. 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, John B can be contacted via phone (607) 758-3008.Contact Information
Primary practice address
4038 West Rd
Cortland NY 13045-1842
Phone: (607) 758-3008
Fax: (607) 758-7032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 000666 | New York |
Profile Details
| NPI number | 1780668103 |
|---|---|
| LBN Legal business name | Stevens, John B |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Apr 28th, 2022 - about 2 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 | 1780668103 | NPPES |
| New York | MEDICAID | 01295894 |
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