Stephens, Alan L

Stephens, Alan L is an individual health care provider with primary practice located at 7901 S 12Th St Suite 100, Kalamazoo MI 49024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Stephens, Alan L can be contacted via phone (269) 372-3000.

Contact Information

Primary practice address
7901 S 12Th St Suite 100 Kalamazoo MI 49024
Fax: (269) 372-3500
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 4301113439 Michigan
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01044904A Indiana

Profile Details

NPI number 1538161229
LBN Legal business name Stephens, Alan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 27th, 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 1538161229 NPPES
Michigan MEDICAID 104366787
Michigan MEDICAID 200090260
Michigan MEDICAID 2068202

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