Individual
MR. MARSHALL JAY STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 POPLAR GROVE CONNECTOR, SUITE B, BOONE, NC 28607-5915
(828) 264-8759
(828) 262-5687
Mailing address
895 STATE FARM RD, SUITE 508, BOONE, NC 28607-4917
(828) 264-9007
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
23780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088H
BCBS OF NC ID #
NC
01
—
265227
COMPSYCH ID #
NC
01
—
31251
MEDCOST PROVIDER ID #
NC
05
—
8979583
—
NC
01
—
N/A
CAROLINA BEHAVIORAL HEALT
NC
Enumeration date
05/15/2006
Last updated
07/09/2007
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