Odom, Stephen Ray

Odom, Stephen Ray is an individual health care provider with primary practice located at 14 Medical Park Dr , Asheville NC 28803-2493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Odom, Stephen Ray can be contacted via phone (828) 252-3366.

Contact Information

Primary practice address
14 Medical Park Dr Asheville NC 28803-2493
Phone: (828) 252-3366
Fax: (828) 258-0891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 43996 Colorado

Profile Details

NPI number 1639153257
LBN Legal business name Odom, Stephen Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated May 16th, 2018 - about 7 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 1639153257 NPPES
Colorado MEDICAID 33452555
Colorado Other P00255737
Colorado Other 840255530039

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