Individual
MR. CHRISTOPHER C STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(260) 969-1950
Mailing address
5633 RELIABLE PKWY, CHICAGO, IL 60686-0056
(260) 969-1950
(260) 918-2137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000433A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340097
BLUE CROSS/BLUE SHIELD
IN
01
—
P00180423
RAILROAD MEDICARE
IN
Enumeration date
07/20/2005
Last updated
02/17/2010
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