Stevenson, John A
Stevenson, John A is an individual health care provider with primary practice located at 210 E Harris Ave , San Angelo TX 76903-5906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Stevenson, John A can be contacted via phone (325) 658-1511.Contact Information
Primary practice address
210 E Harris Ave
San Angelo TX 76903-5906
Phone: (325) 658-1511
Fax: (325) 481-2166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | L3842 | Texas |
Profile Details
| NPI number | 1205820966 |
|---|---|
| LBN Legal business name | Stevenson, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1205820966 | NPPES |
| Texas | MEDICAID | 152047001 | |
| Texas | Other | 8845M1 |
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