Stevens, William Grant
Stevens, William Grant is an individual health care provider with primary practice located at 4644 Lincoln Blvd Ste 552 , Marina Del Rey CA 90292-6391. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stevens, William Grant can be contacted via phone (310) 827-2653.Contact Information
Primary practice address
4644 Lincoln Blvd Ste 552
Marina Del Rey CA 90292-6391
Phone: (310) 827-2653
Fax: (310) 827-1493
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | G45892 | California |
Profile Details
NPI number | 1689709008 |
---|---|
LBN Legal business name | Stevens, William Grant |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2007 |
Last updated | Oct 20th, 2010 - about 14 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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