Offutt, Stephen M

Offutt, Stephen M is an individual health care provider with primary practice located at 8780 Purdue Rd Suite # 7, Indianapolis IN 46268-6129. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Offutt, Stephen M can be contacted via phone (317) 471-8701.

Contact Information

Primary practice address
8780 Purdue Rd Suite # 7 Indianapolis IN 46268-6129
Phone: (317) 471-8701
Fax: (317) 471-8702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0700991A Indiana

Profile Details

NPI number 1700889102
LBN Legal business name Offutt, Stephen M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 7th, 2023 - about 3 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 1700889102 NPPES
Indiana Other P01287668 RAILROAD MEDICARE
Indiana Other 07000991A RAILROAD MEDICARE
Indiana MEDICAID 200958540 RAILROAD MEDICARE
Indiana Other 11267445 RAILROAD MEDICARE
Indiana MEDICAID 200268880E RAILROAD MEDICARE

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