Stevenson, Michael Joseph

Stevenson, Michael Joseph is an individual health care provider with primary practice located at 10767 Illinois St Ste 3000 , Carmel IN 46032-8972. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stevenson, Michael Joseph can be contacted via phone (317) 817-1200.

Contact Information

Primary practice address
10767 Illinois St Ste 3000 Carmel IN 46032-8972
Phone: (317) 817-1200
Fax: (317) 817-1220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2455 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10003530A Indiana

Profile Details

NPI number 1316099286
LBN Legal business name Stevenson, Michael Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Sep 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316099286 NPPES
Kansas MEDICAID 200972770A
Kansas MEDICAID 129802000
Kansas MEDICAID 1245556091
Kansas MEDICAID 03038050

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