Stevens, Michael Wayne
Stevens, Michael Wayne is an individual health care provider with primary practice located at 3075 Governors Place Blvd Ste 110, Dayton OH 45409-1332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Stevens, Michael Wayne can be contacted via phone (937) 296-0015.Contact Information
Primary practice address
3075 Governors Place Blvd Ste 110
Dayton OH 45409-1332
Phone: (937) 296-0015
Fax: (937) 296-0074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 35060576 | Ohio |
Profile Details
| NPI number | 1114901188 |
|---|---|
| LBN Legal business name | Stevens, Michael Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1114901188 | NPPES |
| Ohio | MEDICAID | 0381831 |
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