GREGORY E STEPHENS DO PC NPI 1588835433

NPI Information

NPI: 1588835433
Provider Name: GREGORY E STEPHENS DO PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
14600 KING RD
SUITE D
RIVERVIEW, MI
ZIP 48193
Phone: (734) 479-7310
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GREGORY E STEPHENS DO PC is a specialist in Riverview, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GREGORY E STEPHENS DO PC NPI is 1588835433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14600 KING RD
SUITE D
RIVERVIEW, MI
ZIP 48193-952
Phone: (734) 479-7310

The provider's authorized official is Gregory E Stephens .
The authorized official title is Physician and has the following contact phone number (734) 479-7310.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 8/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		5101010374	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0158223820	OTHER	MICHIGAN	BLUE CROSS OF MICHIGAN
2	5822382	MEDICARE PIN	MICHIGAN
3	F26665	MEDICARE UPIN	MICHIGAN
4	0P57550	MEDICARE PIN	MICHIGAN
5	=========	OTHER	MICHIGAN	COMMERICAL INSURANCE
6	4384248	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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