Delessio, Stephen Thomas
Delessio, Stephen Thomas is an individual health care provider with primary practice located at 1227 East Rusholme Street , Davenport IA 52803-2498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Delessio, Stephen Thomas can be contacted via phone (563) 421-1000.Contact Information
Primary practice address
1227 East Rusholme Street
Davenport IA 52803-2498
Phone: (563) 421-1000
Fax: (563) 421-7889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 32509 | Iowa |
Profile Details
| NPI number | 1114903804 |
|---|---|
| LBN Legal business name | Delessio, Stephen Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Apr 5th, 2021 - about 4 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 | 1114903804 | NPPES |
| Iowa | MEDICAID | 0173690 |
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