Stover, Mervin C

Stover, Mervin C is an individual health care provider with primary practice located at 513 Ridge Rd , Munster IN 46321-1647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stover, Mervin C can be contacted via phone (219) 836-5738.

Contact Information

Primary practice address
513 Ridge Rd Munster IN 46321-1647
Phone: (219) 836-5738
Fax: (219) 836-5782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01024290A Indiana

Profile Details

NPI number 1841287075
LBN Legal business name Stover, Mervin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 19th, 2011 - about 13 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 1841287075 NPPES
Illinois Other 90000854 BCBSIL GROUP NUMBER
Illinois MEDICAID 100141140 BCBSIL GROUP NUMBER

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