Stevenson, John S

Stevenson, John S is an individual health care provider with primary practice located at 162 Main St , Northborough MA 01532-1930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stevenson, John S can be contacted via phone (508) 393-1307.

Contact Information

Primary practice address
162 Main St Northborough MA 01532-1930
Phone: (508) 393-1307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2084S0010X 223949 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 223949 Massachusetts

Profile Details

NPI number 1457388696
LBN Legal business name Stevenson, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457388696 NPPES
Other 3951196 AETNA
Other 1435770 AETNA
Other 470391 AETNA
Other 92687 AETNA
Other AA37555 AETNA
Other 2104211 AETNA
Other 56300014 AETNA
MEDICAID 2104211 AETNA
Other 3951196 AETNA
Other J29087Q AETNA
Other 384187 AETNA
Other 38797 AETNA
Other 0103069 AETNA
Other 38797 AETNA

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