Stivers, Stephen

Stivers, Stephen is an individual health care provider with primary practice located at 2000 Kentucky Ave , Paducah KY 42003-3202. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stivers, Stephen can be contacted via phone (270) 444-9011.

Contact Information

Primary practice address
2000 Kentucky Ave Paducah KY 42003-3202
Phone: (270) 444-9011
Fax: (270) 444-9902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 163 Kentucky

Profile Details

NPI number 1578604005
LBN Legal business name Stivers, Stephen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
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 1578604005 NPPES
Kentucky Other 62186125242003A001 WPS TRICARE FOR LIFE
Kentucky Other KY0057841 WPS TRICARE FOR LIFE
Kentucky Other 137000 WPS TRICARE FOR LIFE
Kentucky Other 000000204311 WPS TRICARE FOR LIFE

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