Stevens, Keith M
Stevens, Keith M is an individual health care provider with primary practice located at 44199 Dequindre Rd Suite 311, Troy MI 48085-1128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Stevens, Keith M can be contacted via phone (248) 964-9490.Contact Information
Primary practice address
44199 Dequindre Rd Suite 311
Troy MI 48085-1128
Phone: (248) 964-9490
Fax: (248) 964-9470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301009404 | Michigan |
Profile Details
| NPI number | 1578588679 |
|---|---|
| LBN Legal business name | Stevens, Keith M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Oct 23rd, 2020 - about 6 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 | 1578588679 | NPPES |
| Michigan | Other | 290F34972 | BLUE CROSS OF MICHIGAN |
| Michigan | Other | 0E00425 | BLUE CROSS OF MICHIGAN |
| Michigan | MEDICAID | 2693478 | BLUE CROSS OF MICHIGAN |
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