Stevenson, Rodrick Albert
Stevenson, Rodrick Albert is an individual health care provider with primary practice located at 699 Rural Ave Suite 104, Williamsport PA 17701-3246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stevenson, Rodrick Albert can be contacted via phone (570) 321-3180.Contact Information
Primary practice address
699 Rural Ave Suite 104
Williamsport PA 17701-3246
Phone: (570) 321-3180
Fax: (570) 321-3181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD047042L | Pennsylvania |
Profile Details
| NPI number | 1689642340 |
|---|---|
| LBN Legal business name | Stevenson, Rodrick Albert |
| Credentials | MD, FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Nov 30th, 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 | 1689642340 | NPPES |
| Pennsylvania | Other | 5166004 | AETNA |
| Pennsylvania | MEDICAID | 0017727370011 | AETNA |
| Pennsylvania | Other | 698487 | AETNA |
| Pennsylvania | Other | 1276362 | AETNA |
| Pennsylvania | Other | 819135 | AETNA |
| Pennsylvania | Other | F91721 | AETNA |
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