Stevens, Thomas M

Stevens, Thomas M is an individual health care provider with primary practice located at 1 Hospital Plz , Grafton WV 26354-1283. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Stevens, Thomas M can be contacted via phone (304) 265-7406.

Contact Information

Primary practice address
1 Hospital Plz Grafton WV 26354-1283
Fax: (304) 265-6443
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2983 West Virginia

Profile Details

NPI number 1659719698
LBN Legal business name Stevens, Thomas M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated Aug 29th, 2016 - about 9 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 1659719698 NPPES
West Virginia MEDICAID 3810029816

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