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NPI Code Detail

MEDICARE: JONATHAN STEIN MD

MEDICARE: JONATHAN STEIN MD
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
1207RC0000XCardiovascular Disease 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 : 1992751200
Entity Type Code : Organization
Provider Name (Legal Business Name) : JONATHAN STEIN MD
Provider Business Mailing Address
First Line : 104 SHINNECOCK HILLS DR
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-6175
Country : US
Telephone Number : 337-856-1036
Fax Number :
Provider Business Practice Location Address
First Line : 104 SHINNECOCK HILLS DR
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-6175
Country : US
Telephone Number : 337-856-1036
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JONATHAN H. STEIN
Credential : M.D.
Telephone Number : 337-367-1936
Provider Enumeration Date : 05/26/2006
Last Update Date : 02/03/2011

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