Fillmore, Steven Louis

Fillmore, Steven Louis is an sole proprietor health care provider with primary practice located at 1921 Stonecipher Blvd , Ada OK 74820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fillmore, Steven Louis can be contacted via phone (580) 421-4570.

Contact Information

Primary practice address
1921 Stonecipher Blvd Ada OK 74820
Phone: (580) 421-4570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14295 Oklahoma

Profile Details

NPI number 1225010655
LBN Legal business name Fillmore, Steven Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Sep 14th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225010655 NPPES
Oklahoma MEDICAID 100259020A

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