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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 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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