Provider Demographics
NPI:1568450021
Name:STEIN, ALVIN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:LEE
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 N NATIONAL RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45315-8506
Mailing Address - Country:US
Mailing Address - Phone:937-836-8065
Mailing Address - Fax:937-836-8256
Practice Address - Street 1:1250 N NATIONAL RD
Practice Address - Street 2:SUITE 400
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45315-8506
Practice Address - Country:US
Practice Address - Phone:937-836-6000
Practice Address - Fax:937-832-4805
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31040482207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH335250OtherMEDICARE - OH
OH0463458Medicaid
OH0487843Medicare PIN