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NPI Code Detail

MEDICARE: STEPHEN THOMAS HEWITT DO

MEDICARE: STEPHEN THOMAS HEWITT DO
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
1207Q00000XFamily Medicine Physician1107NV
2208M00000XHospitalist Physician1107NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023015849
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN THOMAS HEWITT DO
Provider Business Mailing Address
First Line : PO BOX 3299
Second Line :
City : CARSON CITY
State : NV
Zip : 89702-3299
Country : US
Telephone Number : 800-420-0221
Fax Number : 775-222-0056
Provider Business Practice Location Address
First Line : 1600 MEDICAL PKWY
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-4625
Country : US
Telephone Number : 775-445-8795
Fax Number : 775-445-5175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 12/15/2017

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