Healthcare Provider Details

I. General information

NPI: 1699876110
Provider Name (Legal Business Name): RICHARD L STEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 12/02/2020
Certification Date: 12/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34055 SOLON RD STE 104
SOLON OH
44139-2662
US

IV. Provider business mailing address

24701 EUCLID AVE THIRD FLOOR BILLING SERVICES
EUCLID OH
44117-1714
US

V. Phone/Fax

Practice location:
  • Phone: 440-349-1100
  • Fax: 440-349-8160
Mailing address:
  • Phone: 440-349-1100
  • Fax: 440-349-8160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35049369
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35-049369
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: