Stevenson, Rodrick Albert

Stevenson, Rodrick Albert is an individual health care provider with primary practice located at 699 Rural Ave Suite 104, Williamsport PA 17701-3246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stevenson, Rodrick Albert can be contacted via phone (570) 321-3180.

Contact Information

Primary practice address
699 Rural Ave Suite 104 Williamsport PA 17701-3246
Phone: (570) 321-3180
Fax: (570) 321-3181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD047042L Pennsylvania

Profile Details

NPI number 1689642340
LBN Legal business name Stevenson, Rodrick Albert
Credentials MD, FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 30th, 2007 - about 18 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 1689642340 NPPES
Pennsylvania Other 5166004 AETNA
Pennsylvania MEDICAID 0017727370011 AETNA
Pennsylvania Other 698487 AETNA
Pennsylvania Other 1276362 AETNA
Pennsylvania Other 819135 AETNA
Pennsylvania Other F91721 AETNA

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