Clark, Stephanie Lynn
Clark, Stephanie Lynn is an individual health care provider with primary practice located at 34Th & Civic Center Blvd , Philadelphia PA 19104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Clark, Stephanie Lynn can be contacted via phone (215) 590-2449.Contact Information
Primary practice address
34Th & Civic Center Blvd
Philadelphia PA 19104
Phone: (215) 590-2449
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.096286 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MT201541 | Pennsylvania |
Profile Details
| NPI number | 1275707358 |
|---|---|
| LBN Legal business name | Clark, Stephanie Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2008 |
| Last updated | Jul 19th, 2012 - about 12 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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