Stevenson, John Regis
Stevenson, John Regis is an individual health care provider with primary practice located at 8721 N Main St , Dayton OH 45415-1331. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stevenson, John Regis can be contacted via phone (937) 264-3150.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36002504 | Ohio |
Profile Details
| NPI number | 1336248335 |
|---|---|
| LBN Legal business name | Stevenson, John Regis |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Mar 22nd, 2016 - about 8 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 | 1336248335 | NPPES |
| Ohio | MEDICAID | 0757739 |
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