Stevens, Matthew Scott
Stevens, Matthew Scott is an individual health care provider with primary practice located at 618 Pegram Dr. , Tupelo MS 38801-6632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stevens, Matthew Scott can be contacted via phone (662) 844-6513.Contact Information
Primary practice address
618 Pegram Dr.
Tupelo MS 38801-6632
Phone: (662) 844-6513
Fax: (662) 844-1113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 23029 | Mississippi |
Profile Details
| NPI number | 1447494570 |
|---|---|
| LBN Legal business name | Stevens, Matthew Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2009 |
| Last updated | Feb 24th, 2016 - about 8 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 | 1447494570 | NPPES |
| Mississippi | MEDICAID | 03177353 |
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