Stewart, Dennis A
Stewart, Dennis A is an individual health care provider with primary practice located at 369 N Main St , Crestview FL 32536-3541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stewart, Dennis A can be contacted via phone (850) 689-3123.Contact Information
Primary practice address
369 N Main St
Crestview FL 32536-3541
Phone: (850) 689-3123
Fax: (850) 689-1633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME59782 | Florida |
Profile Details
| NPI number | 1053467001 |
|---|---|
| LBN Legal business name | Stewart, Dennis A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Apr 8th, 2015 - about 10 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 | 1053467001 | NPPES |
| Other | 1508911843 | GROUP NPI | |
| Other | K6357 | GROUP NPI | |
| MEDICAID | 053717900 | GROUP NPI |
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