Stephenson, Jeffrey A

Stephenson, Jeffrey A is an individual health care provider with primary practice located at 500 W Broadway St , Missoula MT 59802-4008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Stephenson, Jeffrey A can be contacted via phone (406) 329-5655.

Contact Information

Primary practice address
500 W Broadway St Missoula MT 59802-4008
Phone: (406) 329-5655
Fax: (406) 329-5675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 10665 Montana

Profile Details

NPI number 1053312900
LBN Legal business name Stephenson, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 19th, 2021 - about 4 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 1053312900 NPPES
Other M000009936 PTAN
MEDICAID 0089352 PTAN

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