Daviduk, Stephanie Marie

Daviduk, Stephanie Marie is an sole proprietor health care provider with primary practice located at 915 Old Fern Hill Rd Ste 202 , West Chester PA 19380-3431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Daviduk, Stephanie Marie can be contacted via phone (610) 692-4270.

Contact Information

Primary practice address
915 Old Fern Hill Rd Ste 202 West Chester PA 19380-3431
Phone: (610) 692-4270
Fax: (610) 692-2566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA058587 Pennsylvania

Profile Details

NPI number 1346799434
LBN Legal business name Daviduk, Stephanie Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2016
Last updated Oct 8th, 2018 - about 6 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 1346799434 NPPES
Pennsylvania Other 50145502 CAPITAL BLUE CROSS

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