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NPI Code Detail

MEDICARE: VPA PC

MEDICARE: VPA PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2208D00000XGeneral Practice Physician
3207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346254281
Entity Type Code : Organization
Provider Name (Legal Business Name) : VPA PC
Provider Business Mailing Address
First Line : PO BOX 40412
Second Line :
City : BELFAST
State : ME
Zip : 04915-1255
Country : US
Telephone Number : 937-293-2133
Fax Number : 248-324-1477
Provider Business Practice Location Address
First Line : 3033 KETTERING BLVD STE 100
Second Line :
City : MORAINE
State : OH
Zip : 45439-1948
Country : US
Telephone Number : 937-293-2133
Fax Number : 937-293-2161
Authorized Official
Title or Position : OWNER
Name : DR. JEFFREY STEVENS
Credential : DO
Telephone Number : 248-824-6000
Provider Enumeration Date : 07/28/2006
Last Update Date : 09/30/2025

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Directions to “VPA PC ” Practice Location

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