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
Fax: (662) 844-1113
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447494570 NPPES
Mississippi MEDICAID 03177353

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