Stevenson, Daniel Richard
Stevenson, Daniel Richard is an individual health care provider with primary practice located at 201 E Oak Ave. , Jonesboro AR 72401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Stevenson, Daniel Richard can be contacted via phone (870) 935-6729.Contact Information
Primary practice address
201 E Oak Ave.
Jonesboro AR 72401
Phone: (870) 935-6729
Fax: (870) 268-4408
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | C5099 | Arkansas |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | C-5099 | Arkansas |
Profile Details
NPI number | 1558366443 |
---|---|
LBN Legal business name | Stevenson, Daniel Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1558366443 | NPPES |
Arkansas | Other | C5099 | STATE LICENSE |
Arkansas | MEDICAID | 114142001 | STATE LICENSE |
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