Dayan, Stephen Alan
Dayan, Stephen Alan is an sole proprietor health care provider with primary practice located at 830 Johns Landing Way , Lawrenceville GA 30045-6369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Dayan, Stephen Alan can be contacted via phone (770) 696-5254.Contact Information
Primary practice address
830 Johns Landing Way
Lawrenceville GA 30045-6369
Phone: (770) 696-5254
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD423670 | Pennsylvania |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD423670 | Pennsylvania |
Profile Details
NPI number | 1184918476 |
---|---|
LBN Legal business name | Dayan, Stephen Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2011 |
Last updated | Dec 30th, 2015 - about 10 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 | 1184918476 | NPPES |
Pennsylvania | MEDICAID | 1010386780001 |
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