Stevenson, Craig
Stevenson, Craig is an individual health care provider with primary practice located at 74-5214 Keanalehu Dr , Kailua Kona HI 96740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Stevenson, Craig can be contacted via phone (808) 355-5600.Contact Information
Primary practice address
74-5214 Keanalehu Dr
Kailua Kona HI 96740
Phone: (808) 355-5600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 11346 | Oregon |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 15025 | Hawaii |
Profile Details
| NPI number | 1184852584 |
|---|---|
| LBN Legal business name | Stevenson, Craig |
| Credentials | PHD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2009 |
| Last updated | Feb 25th, 2021 - about 4 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 | 1184852584 | NPPES |
| Hawaii | MEDICAID | 639726 |
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