Stephenson, Charles Nevin

Stephenson, Charles Nevin is an sole proprietor health care provider with primary practice located at 1619 Highway 206 , Cisco TX 76437-6447. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stephenson, Charles Nevin can be contacted via phone (254) 442-1441.

Contact Information

Primary practice address
1619 Highway 206 Cisco TX 76437-6447
Phone: (254) 442-1441
Fax: (254) 442-1466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00390 Texas

Profile Details

NPI number 1003984634
LBN Legal business name Stephenson, Charles Nevin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1003984634 NPPES
Texas Other PA00390 PA NUMBER

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