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Contact Information

CODY STEPHENS
13101 ECKLES RD STE 102
PLYMOUTH, MI48170-4245
 Phone: 313-288-9736
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Care

2279H0200X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for CODY STEPHENS · (Male)

NPI Number 1790436889
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2022
Last updated 01/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4703055239
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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