Mahoney, Stephen James

Mahoney, Stephen James is an individual health care provider with primary practice located at 8051 S Emerson Ave Ste 200, Indianapolis IN 46237-8632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mahoney, Stephen James can be contacted via phone (317) 865-2955.

Contact Information

Primary practice address
8051 S Emerson Ave Ste 200 Indianapolis IN 46237-8632
Phone: (317) 865-2955
Fax: (317) 865-2944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01026306 Indiana

Profile Details

NPI number 1538165378
LBN Legal business name Mahoney, Stephen James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jun 15th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538165378 NPPES
Indiana MEDICAID 100365940

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