Stevens, Brian S

Stevens, Brian S is an individual health care provider with primary practice located at 3600 Kolbe Rd Suite 227, Lorain OH 44053-1654. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Stevens, Brian S can be contacted via phone (440) 960-3304.

Contact Information

Primary practice address
3600 Kolbe Rd Suite 227 Lorain OH 44053-1654
Phone: (440) 960-3304
Fax: (440) 960-3482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002340 Ohio

Profile Details

NPI number 1245288158
LBN Legal business name Stevens, Brian S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 23rd, 2014 - about 12 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 1245288158 NPPES
Ohio MEDICAID 3025372
Ohio MEDICAID 2189859
Ohio MEDICAID 0236248

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