Vick, Stephen Randolph
Vick, Stephen Randolph is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 2004, Baton Rouge LA 70808-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Vick, Stephen Randolph can be contacted via phone (225) 769-2500.Contact Information
Primary practice address
7777 Hennessy Blvd Suite 2004
Baton Rouge LA 70808-4300
Phone: (225) 769-2500
Fax: (225) 769-9424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 022020 | Louisiana |
Profile Details
| NPI number | 1689634099 |
|---|---|
| LBN Legal business name | Vick, Stephen Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Mar 10th, 2021 - about 3 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 | 1689634099 | NPPES |
| Louisiana | MEDICAID | 1537772 |
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