Stephenson, S Fred

Stephenson, S Fred is an individual health care provider with primary practice located at 6400 Dutchmans Pkwy Suite 125, Louisville KY 40205-3340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stephenson, S Fred can be contacted via phone (502) 896-8700.

Contact Information

Primary practice address
6400 Dutchmans Pkwy Suite 125 Louisville KY 40205-3340
Phone: (502) 896-8700
Fax: (502) 896-0813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 19574 Kentucky

Profile Details

NPI number 1700870656
LBN Legal business name Stephenson, S Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 2nd, 2007 - about 19 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 1700870656 NPPES
Kentucky Other 000000050467 ANTHEM BLUE CROSS BLUE SH
Kentucky MEDICAID 64195746 ANTHEM BLUE CROSS BLUE SH

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