Stevens, Keith M

Stevens, Keith M is an individual health care provider with primary practice located at 44199 Dequindre Rd Suite 311, Troy MI 48085-1128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Stevens, Keith M can be contacted via phone (248) 964-9490.

Contact Information

Primary practice address
44199 Dequindre Rd Suite 311 Troy MI 48085-1128
Phone: (248) 964-9490
Fax: (248) 964-9470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301009404 Michigan

Profile Details

NPI number 1578588679
LBN Legal business name Stevens, Keith M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 23rd, 2020 - about 4 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 1578588679 NPPES
Michigan Other 290F34972 BLUE CROSS OF MICHIGAN
Michigan Other 0E00425 BLUE CROSS OF MICHIGAN
Michigan MEDICAID 2693478 BLUE CROSS OF MICHIGAN

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