Tepastte, Stephen G

Tepastte, Stephen G is an individual health care provider with primary practice located at 4378 W Holt Rd , Holt MI 48842-1666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tepastte, Stephen G can be contacted via phone (517) 694-1466.

Contact Information

Primary practice address
4378 W Holt Rd Holt MI 48842-1666
Fax: (517) 694-3530
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ST038044 Michigan

Profile Details

NPI number 1417991134
LBN Legal business name Tepastte, Stephen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 9th, 2007 - 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 1417991134 NPPES
Other ST038044 BCN BLUE CARE NETWORK
Other ST038044 BCN BLUE CARE NETWORK
Other 0100234 BCN BLUE CARE NETWORK
MEDICAID 0170234 BCN BLUE CARE NETWORK

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