Stephenson, Carlisle Reid

Stephenson, Carlisle Reid is an individual health care provider with primary practice located at 1300 Mcfarland Blvd Ne Ste 150, Tuscaloosa AL 35406-2283. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stephenson, Carlisle Reid can be contacted via phone (205) 758-9041.

Contact Information

Primary practice address
1300 Mcfarland Blvd Ne Ste 150 Tuscaloosa AL 35406-2283
Fax: (205) 345-8328
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 20475 Alabama

Profile Details

NPI number 1780612564
LBN Legal business name Stephenson, Carlisle Reid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 18th, 2024 - about 2 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 1780612564 NPPES
Alabama MEDICAID 009927230
Alabama Other 051095299

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