Stevenson, Frazier T.
Stevenson, Frazier T. is an sole proprietor health care provider with primary practice located at 12901 Bruce B Downs Blvd Mdc54 Usf Com, Tampa FL 33612-4742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Stevenson, Frazier T. can be contacted via phone (813) 974-7131.Contact Information
Primary practice address
12901 Bruce B Downs Blvd Mdc54 Usf Com
Tampa FL 33612-4742
Phone: (813) 974-7131
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G059677 | California |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME 107406 | Florida |
Profile Details
NPI number | 1114902657 |
---|---|
LBN Legal business name | Stevenson, Frazier T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 7th, 2005 |
Last updated | Jul 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114902657 | NPPES |
California | Other | G059677 | MEDICAL LICENSE |
California | Other | ME 107406 | MEDICAL LICENSE |
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