Stevens, Douglas P
Stevens, Douglas P is an individual health care provider with primary practice located at 800 Zorn Ave , Louisville KY 40206-1433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Stevens, Douglas P can be contacted via phone (502) 287-5105.Contact Information
Primary practice address
800 Zorn Ave
Louisville KY 40206-1433
Phone: (502) 287-5105
Fax: (502) 287-6964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 26201 | Kentucky |
Profile Details
| NPI number | 1285608471 |
|---|---|
| LBN Legal business name | Stevens, Douglas P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Mar 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285608471 | NPPES |
| Kentucky | Other | 000000048654 | ANTHEM |
| Kentucky | Other | 50031672 | ANTHEM |
| Kentucky | Other | 61-1086535 | ANTHEM |
| Kentucky | MEDICAID | 64262017 | ANTHEM |
| Kentucky | MEDICAID | 200024170 | ANTHEM |
| Kentucky | Other | M400053478 | ANTHEM |
| Kentucky | Other | 004333 | ANTHEM |
| Kentucky | Other | P400040042 | ANTHEM |
| Kentucky | Other | 000057094L | ANTHEM |
| Kentucky | Other | P00912405 | ANTHEM |
| Kentucky | Other | 000000694447 | ANTHEM |
| Kentucky | Other | 1404235 | ANTHEM |
| Kentucky | Other | 2432934000 | ANTHEM |
| Kentucky | Other | 1050653 | ANTHEM |
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