Stephens, Kenneth E

Stephens, Kenneth E is an sole proprietor health care provider with primary practice located at 830 W Lake Lansing Rd Suite 190, East Lansing MI 48823-6371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Stephens, Kenneth E can be contacted via phone (517) 333-3777.

Contact Information

Primary practice address
830 W Lake Lansing Rd Suite 190 East Lansing MI 48823-6371
Phone: (517) 333-3777
Fax: (517) 203-3956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 5101010508 Michigan

Profile Details

NPI number 1891760971
LBN Legal business name Stephens, Kenneth E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Oct 9th, 2014 - about 12 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 1891760971 NPPES
Michigan Other 300040412 TRICARE
Michigan Other 1017937 TRICARE
Michigan Other 200C313650 TRICARE
Michigan MEDICAID 4838574 TRICARE
Michigan Other 200000001155 TRICARE
Michigan Other 0970031 TRICARE
Michigan Other 200C313650 TRICARE

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