Becker, Stephanie R

Becker, Stephanie R is an individual health care provider with primary practice located at 15 Walker Ave , Baltimore MD 21208-4004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Becker, Stephanie R can be contacted via phone (410) 486-6800.

Contact Information

Primary practice address
15 Walker Ave Baltimore MD 21208-4004
Phone: (410) 486-6800
Fax: (410) 484-6534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R088031 Maryland

Profile Details

NPI number 1992783666
LBN Legal business name Becker, Stephanie R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992783666 NPPES
Maryland MEDICAID 791330300

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