Jefferson, Stephen E
Jefferson, Stephen E is an individual health care provider with primary practice located at 1535 Gull Rd Ste 130, Kalamazoo MI 49048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Jefferson, Stephen E can be contacted via phone (269) 345-1161.Contact Information
Primary practice address
1535 Gull Rd Ste 130
Kalamazoo MI 49048
Phone: (269) 345-1161
Fax: (269) 345-8076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | SJ040708 | Michigan |
Profile Details
| NPI number | 1235108390 |
|---|---|
| LBN Legal business name | Jefferson, Stephen E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1235108390 | NPPES |
| Michigan | MEDICAID | 1310080 |
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