Michael J. Stevens
Orthotic Fitter
419 Tomahawk Dr
Maumee
, Ohio 43537-1633
Michael J. Stevens
Orthotic Fitter
419 Tomahawk Dr
Maumee
, Ohio 43537-1633
(419) 891-9172
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Michael J. Stevens
- 419 Tomahawk Dr
- Maumee, OH
- Zip : 43537-1633
- Fax : (419) 891-9172
- Phone : (419) 893-0748
Second Address
- Michael J. Stevens
- 419 Tomahawk Dr
- Maumee, OH
- Zip : 43537-1633
- Fax : (419) 891-9172
- Phone : (419) 893-0748
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | ||
| Y | 225000000X | Orthotic Fitter | LPO.120 | OH |
National Provider Identifier
| NPI | 1700072014 |
|---|---|
| Provider Name | Michael J. Stevens |
| First Address | Maumee, OH 43537-1633 |
| Second Address | Maumee, OH 43537-1633 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2007 |
| Last Update Date | 06/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5537502 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.