Street, Steven

Street, Steven is an individual health care provider with primary practice located at 1601 E Broadway Lower Level, Columbia MO 65201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Street, Steven can be contacted via phone (573) 815-2700.

Contact Information

Primary practice address
1601 E Broadway Lower Level Columbia MO 65201
Fax: (573) 815-3693
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 102907 Missouri

Profile Details

NPI number 1548296395
LBN Legal business name Street, Steven
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548296395 NPPES
Missouri MEDICAID 243399979
Missouri Other 274142

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