Hustead, Stephen T
Hustead, Stephen T is an individual health care provider with primary practice located at 4040 Coon Rapids Blvd Nw Suite 120, Minneapolis MN 55433-4567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hustead, Stephen T can be contacted via phone (763) 427-9980.Contact Information
Primary practice address
4040 Coon Rapids Blvd Nw Suite 120
Minneapolis MN 55433-4567
Phone: (763) 427-9980
Fax: (763) 427-9908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 332642 | Minnesota |
Profile Details
| NPI number | 1629015987 |
|---|---|
| LBN Legal business name | Hustead, Stephen T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Nov 21st, 2011 - about 15 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 | 1629015987 | NPPES |
| Minnesota | MEDICAID | 479398600 |
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