Stevens, Ishmael Worth
Stevens, Ishmael Worth is an individual health care provider with primary practice located at 700 13Th St , Ashland KY 41101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stevens, Ishmael Worth can be contacted via phone (606) 329-0204.Contact Information
Primary practice address
700 13Th St
Ashland KY 41101
Phone: (606) 329-0204
Fax: (606) 324-7770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35295 | Kentucky |
Profile Details
| NPI number | 1033205448 |
|---|---|
| LBN Legal business name | Stevens, Ishmael Worth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1033205448 | NPPES |
| Kentucky | MEDICAID | 65917544 | |
| Kentucky | Other | 000000111530 | |
| Kentucky | MEDICAID | 64012503 | |
| Kentucky | MEDICAID | 6700603-000 | |
| Kentucky | Other | 1200987 | |
| Kentucky | Other | 336109752062214 |
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