Sean Rayl Stephenson in Fenton - General Practice
Sean Rayl Stephenson - NPI 1942219621
Sean Rayl Stephenson is a General Practice in Fenton, Michigan. Sean Rayl Stephenson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sean Rayl Stephenson is 1942219621. The last update date is 2008-04-30.
Sean Rayl Stephenson's current location address is 305 N Leroy St, Fenton, Michigan. You can contact this provider via phone number 8106290336 and fax number 8106297251. The mailing address for Sean Rayl Stephenson is 305 N Leroy St, Fenton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean Rayl Stephenson |
|---|---|
| Address | 305 N Leroy St, Fenton, Michigan |
| Phone Number | 8106290336 |
| Fax Number | 8106297251 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1942219621 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 305 N Leroy St |
|---|---|
| City | Fenton |
| State | Michigan (MI) |
| Post Code | 484302729 |
| Phone Number | 8106290336 |
| Fax Number | 8106297251 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 5101016669 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114917050 | MI | -- | |
| 114917041 | MI | -- | |
| 114917097 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sean Rayl Stephenson?
The Sean Rayl Stephenson has been issued the NPI (National Provider Identifier) 1942219621 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Sean Rayl Stephenson is physically located?
The Sean Rayl Stephenson is physically situated at the following address: 305 N Leroy St, Fenton, MI, 484302729.
What is Sean Rayl Stephenson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sean Rayl Stephenson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Sean Rayl Stephenson receive the assignment of its 1942219621 from the Centers for Medicare & Medicaid Services?
The Sean Rayl Stephenson was issued its 1942219621 by the Centers for Medicare & Medicaid Services on 2006-08-05.
As of what date were the Sean Rayl Stephenson's details last updated?
The information pertaining to the Sean Rayl Stephenson, including its address, specialty, and other details, was most recently updated on 2008-04-30.
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