Stephanz, Gerald B

Stephanz, Gerald B is an individual health care provider with primary practice located at 1055 N 500 W , Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Stephanz, Gerald B can be contacted via phone (801) 377-4623.

Contact Information

Primary practice address
1055 N 500 W Provo UT 84604-3305
Phone: (801) 377-4623
Fax: (801) 377-6832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2743691205 Utah

Profile Details

NPI number 1932138195
LBN Legal business name Stephanz, Gerald B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Nov 1st, 2007 - about 18 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 1932138195 NPPES
Utah Other 124890 DMBA
Utah Other 31-0041 DMBA
Utah Other 870281028ST2 DMBA
Utah MEDICAID 870281028000 DMBA
Utah Other QM0000044589 DMBA
Utah Other 107006986101 DMBA
Utah Other 62051 DMBA

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