Freshwater, Stephen John

Freshwater, Stephen John is an individual health care provider with primary practice located at 906 North Main Street , Arlington OH 45814-0319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Freshwater, Stephen John can be contacted via phone (419) 365-5153.

Contact Information

Primary practice address
906 North Main Street Arlington OH 45814-0319
Fax: (419) 365-0081
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-052289 Ohio

Profile Details

NPI number 1245215607
LBN Legal business name Freshwater, Stephen John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jul 22nd, 2008 - about 18 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 1245215607 NPPES
Ohio Other FR 0597792 MEDICARE ID
Ohio MEDICAID 0660575 MEDICARE ID

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