Stevenson, John S
Stevenson, John S is an individual health care provider with primary practice located at 3030 Latrobe Dr Charlotte Radiology, Charlotte NC 28211-4866. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Stevenson, John S can be contacted via phone (704) 362-1945.Contact Information
Primary practice address
3030 Latrobe Dr Charlotte Radiology
Charlotte NC 28211-4866
Phone: (704) 362-1945
Fax: (704) 770-0501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 15587 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 15587 | North Carolina |
Profile Details
| NPI number | 1811981087 |
|---|---|
| LBN Legal business name | Stevenson, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jan 20th, 2010 - about 15 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 | 1811981087 | NPPES |
| South Carolina | MEDICAID | 194461 | |
| South Carolina | Other | 300080139 | |
| South Carolina | MEDICAID | 8979782 |
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