Chromiak, Stephen Blaise
Chromiak, Stephen Blaise is an individual health care provider with primary practice located at 251 N Bayou St , Mobile AL 36603-5827. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Chromiak, Stephen Blaise can be contacted via phone (251) 690-8847.Contact Information
Primary practice address
251 N Bayou St
Mobile AL 36603-5827
Phone: (251) 690-8847
Fax: (251) 690-8859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 00017665 | Alabama |
Profile Details
| NPI number | 1124085048 |
|---|---|
| LBN Legal business name | Chromiak, Stephen Blaise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jan 31st, 2014 - about 11 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 | 1124085048 | NPPES |
| Alabama | Other | 17665 | MEDICAL LICENSE |
| Alabama | Other | 011846 | MEDICAL LICENSE |
| Alabama | Other | 1063439065 | MEDICAL LICENSE |
| Alabama | MEDICAID | 630000013 | MEDICAL LICENSE |
| Alabama | Other | 511-17876 | MEDICAL LICENSE |
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