Stephenson, Sean Rayl

Stephenson, Sean Rayl is an sole proprietor health care provider with primary practice located at 305 N Leroy St , Fenton MI 48430-2729. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Stephenson, Sean Rayl can be contacted via phone (810) 629-0336.

Contact Information

Primary practice address
305 N Leroy St Fenton MI 48430-2729
Phone: (810) 629-0336
Fax: (810) 629-7251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101016669 Michigan

Profile Details

NPI number 1942219621
LBN Legal business name Stephenson, Sean Rayl
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Apr 30th, 2008 - 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 1942219621 NPPES
Michigan MEDICAID 114917050
Michigan MEDICAID 114917041
Michigan MEDICAID 114917097

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