Provider Demographics
NPI:1447037957
Name:STEPENEY, CLEOPHUS BISHOP I
Entity type:Individual
Prefix:
First Name:CLEOPHUS
Middle Name:BISHOP
Last Name:STEPENEY
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 CRAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-2652
Mailing Address - Country:US
Mailing Address - Phone:216-645-5978
Mailing Address - Fax:
Practice Address - Street 1:12600 CRAVEN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-2652
Practice Address - Country:US
Practice Address - Phone:216-645-5978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)