Individual
JEFFREY S STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7855 S EMERSON AVE, SUITE T, INDIANAPOLIS, IN 46237-8668
(317) 300-0106
(317) 497-8383
Mailing address
7855 S EMERSON AE STET, INDIANAPOLIS, IN 46237-8669
(317) 300-0106
(317) 497-8383
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000694
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100130870
—
IN
01
—
480019149
MEDICARE RR PROV#
IN
01
—
87821
BCBS/ANTHEM PROV #
IN
Enumeration date
08/23/2006
Last updated
01/27/2023
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