Healthcare Provider Details
I. General information
NPI: 1629208293
Provider Name (Legal Business Name): STEVE B LOUVET D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/17/2009
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
UNIT 33100 BOX LANDSTUHL
APO AE
09180-3100
US
IV. Provider business mailing address
CMR 422 BOX 465
APO AE
09067-0005
US
V. Phone/Fax
- Phone: 719-464-5762
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | DO00754 |
| License Number State | RI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | DO00754 |
| License Number State | RI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: