Stevens, Charles Raymond
Stevens, Charles Raymond is an sole proprietor health care provider with primary practice located at 1665 S Imperial Ave Ste D , El Centro CA 92243-4247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Stevens, Charles Raymond can be contacted via phone (760) 482-0212.Contact Information
Primary practice address
1665 S Imperial Ave Ste D
El Centro CA 92243-4247
Phone: (760) 482-0212
Fax: (760) 482-0166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A104563 | California |
Profile Details
| NPI number | 1003001363 |
|---|---|
| LBN Legal business name | Stevens, Charles Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2007 |
| Last updated | May 11th, 2021 - about 4 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 | 1003001363 | NPPES |
| California | MEDICAID | 7096338 |
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