David, Stephanie

David, Stephanie is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4769. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. David, Stephanie can be contacted via phone (860) 271-4655.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4769
Phone: (860) 271-4655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 001582 Connecticut
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 003031-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6371 Connecticut

Profile Details

NPI number 1174178032
LBN Legal business name David, Stephanie
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2019
Last updated Jan 8th, 2024 - about 11 months 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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