Elkins, Stephanie Banaszak
Elkins, Stephanie Banaszak is an individual health care provider with primary practice located at 106 Corporate Park Dr Suite 200 & 300, Mooresville NC 28117-7134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Elkins, Stephanie Banaszak can be contacted via phone (704) 235-9090.Contact Information
Primary practice address
106 Corporate Park Dr Suite 200 & 300
Mooresville NC 28117-7134
Phone: (704) 235-9090
Fax: (704) 235-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200301350 | North Carolina |
Profile Details
| NPI number | 1194718403 |
|---|---|
| LBN Legal business name | Elkins, Stephanie Banaszak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Apr 10th, 2023 - about 2 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 | 1194718403 | NPPES |
| North Carolina | MEDICAID | 5901730 |
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