Provider Demographics
NPI:1649352337
Name:STEPT, MICHAEL E (M D)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:STEPT
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1675 LAKELAND DR
Mailing Address - Street 2:STE 200
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4843
Mailing Address - Country:US
Mailing Address - Phone:601-981-4313
Mailing Address - Fax:
Practice Address - Street 1:1675 LAKELAND DR
Practice Address - Street 2:STE 200
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4843
Practice Address - Country:US
Practice Address - Phone:601-351-8000
Practice Address - Fax:601-351-8301
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS061382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00131574Medicaid
MS00131574Medicaid
MS260000686Medicare ID - Type Unspecified
MS260000685Medicare ID - Type Unspecified