# STEPHEN M TITUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598851180
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12307 | NE | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00166 | BLUE CROSS & BLUE SHIELD | NE |
| 01 | — | 100412 | UNITED HEALTHCARE | — |
| 05 | — | 1949487 | — | IA |
| 05 | — | 75304640000 | — | NE |
| 01 | — | 93087 | WELLMARK BCBS | IA |