Stephens, Lucretius D

Stephens, Lucretius D is an sole proprietor health care provider with primary practice located at 3301 13Th Ave , Columbus GA 31904-7822. He recently has 9 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Adult Mental Health, Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN), Agencies / Home Health. Agencies / Home Health is his primary health care specialty. Stephens, Lucretius D can be contacted via phone (706) 992-6330.

Contact Information

Primary practice address
3301 13Th Ave Columbus GA 31904-7822
Phone: (706) 992-6330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 903667039 Georgia
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Transportation Services / Secured Medical Transport (VAN) 343800000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1871194274
LBN Legal business name Stephens, Lucretius D
Credentials DDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2020
Last updated Oct 26th, 2022 - 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 1871194274 NPPES
Georgia MEDICAID 903776039
Georgia MEDICAID 903667039

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