Bennett, Stephanie B
Bennett, Stephanie B is an individual health care provider with primary practice located at 229 Line Rd , Malvern PA 19355-3320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bennett, Stephanie B can be contacted via phone (610) 644-5993.Contact Information
Primary practice address
229 Line Rd
Malvern PA 19355-3320
Phone: (610) 644-5993
Fax: (610) 407-9045
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS009106L | Pennsylvania |
Profile Details
NPI number | 1588603641 |
---|---|
LBN Legal business name | Bennett, Stephanie B |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588603641 | NPPES |
Pennsylvania | MEDICAID | 0017367030003 |
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