D'Addario, Stephen Paul

D'Addario, Stephen Paul is an individual health care provider with primary practice located at 28315 Harper Avenue , St Clair Shores MI 48081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. D'Addario, Stephen Paul can be contacted via phone (586) 552-1710.

Contact Information

Primary practice address
28315 Harper Avenue St Clair Shores MI 48081
Fax: (586) 552-1715
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301049083 Michigan

Profile Details

NPI number 1821006784
LBN Legal business name D'Addario, Stephen Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Dec 10th, 2009 - about 16 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 1821006784 NPPES
Michigan MEDICAID 4422545

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