Stephenson, Jeffrey Stuart
Stephenson, Jeffrey Stuart is an individual health care provider with primary practice located at 9880 Angies Way 250, Louisville KY 40241-2851. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Stephenson, Jeffrey Stuart can be contacted via phone (502) 394-6341.Contact Information
Primary practice address
9880 Angies Way 250
Louisville KY 40241-2851
Phone: (502) 394-6341
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45055 | Kentucky |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 45055 | Kentucky |
Profile Details
| NPI number | 1366617078 |
|---|---|
| LBN Legal business name | Stephenson, Jeffrey Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Oct 27th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366617078 | NPPES |
| Kentucky | Other | 767416 | ANTHEM- NORTON MEDICAL ASSOCIATES |
| Kentucky | Other | K043290 | ANTHEM- NORTON MEDICAL ASSOCIATES |
| Kentucky | MEDICAID | 201221810 | ANTHEM- NORTON MEDICAL ASSOCIATES |
| Kentucky | Other | 50039136 | ANTHEM- NORTON MEDICAL ASSOCIATES |
| Kentucky | Other | 6222460 | ANTHEM- NORTON MEDICAL ASSOCIATES |
| Kentucky | MEDICAID | 7100203090 | ANTHEM- NORTON MEDICAL ASSOCIATES |
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