Stevens, Carl Wayne
Stevens, Carl Wayne is an individual health care provider with primary practice located at 203 S 12Th Ave , Laurel MS 39440-4324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stevens, Carl Wayne can be contacted via phone (601) 649-9706.Contact Information
Primary practice address
203 S 12Th Ave
Laurel MS 39440-4324
Phone: (601) 649-9706
Fax: (601) 649-9708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 15762 | Mississippi |
Profile Details
| NPI number | 1336246446 |
|---|---|
| LBN Legal business name | Stevens, Carl Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 18th, 2011 - about 15 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 | 1336246446 | NPPES |
| Mississippi | MEDICAID | 00119265 |
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