Stevens, Mark David

Stevens, Mark David is an individual health care provider with primary practice located at 30 W Avon Rd , Avon CT 06001-3678. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Stevens, Mark David can be contacted via phone (860) 673-2581.

Contact Information

Primary practice address
30 W Avon Rd Avon CT 06001-3678
Phone: (860) 673-2581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000345 Connecticut

Profile Details

NPI number 1851548374
LBN Legal business name Stevens, Mark David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2008
Last updated Aug 27th, 2008 - about 18 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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