Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 260331 | MA |
N | 111NI0900X | Internist | 260331 | MA |
N | 207R00000X | Internist | 34.014579 | OH |
N | 111NI0900X | Internist | 34.014579 | OH |
N | 207R00000X | Internist | DO.1351 | AL |
N | 111NI0900X | Internist | DO.1351 | AL |
N | 207RG0300X | Geriatric Medicine | 260331 | MA |
N | 207RG0300X | Geriatric Medicine | DO.1351 | AL |
N | 207RH0002X | Hospice and Palliative Medicine | 260331 | MA |
Y | 207RH0002X | Hospice and Palliative Medicine | 34.014579 | OH |
NPI | 1356669188 |
---|---|
Provider Name | Erin E. Stevens |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43221-3502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2010 |
Last Update Date | 17/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0408341 | (05) | OH |