Stevens, Joel Thomas

Stevens, Joel Thomas is an individual health care provider with primary practice located at 856 Mankato Ave , Winona MN 55987. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stevens, Joel Thomas can be contacted via phone (507) 864-7726.

Contact Information

Primary practice address
856 Mankato Ave Winona MN 55987
Phone: (507) 864-7726
Fax: (507) 864-2668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001596 Iowa

Profile Details

NPI number 1245255421
LBN Legal business name Stevens, Joel Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245255421 NPPES
Iowa MEDICAID 38004

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