Stevens, Phillip R

Stevens, Phillip R is an individual health care provider with primary practice located at #3 Stonecrest Drive , Huntington WV 25701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stevens, Phillip R can be contacted via phone (304) 522-6388.

Contact Information

Primary practice address
#3 Stonecrest Drive Huntington WV 25701
Fax: (304) 522-8040
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 15360 West Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35078614S Ohio
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 30789 Kentucky

Profile Details

NPI number 1619944477
LBN Legal business name Stevens, Phillip R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jun 6th, 2008 - about 16 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 1619944477 NPPES
West Virginia MEDICAID 0101200000
West Virginia MEDICAID 64697220
West Virginia MEDICAID 0698759

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