Pierce, Stephen Lewis

Pierce, Stephen Lewis is an individual health care provider with primary practice located at 516 East Nizhoni Blvd. , Gallup NM 87301-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pierce, Stephen Lewis can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 East Nizhoni Blvd. Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35051584P Ohio

Profile Details

NPI number 1790768778
LBN Legal business name Pierce, Stephen Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Feb 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790768778 NPPES
Indiana MEDICAID 200176340
Indiana MEDICAID 0864417
Indiana MEDICAID 64958440
Indiana Other 000000378393

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