Engroff, Stephen L
Engroff, Stephen L is an individual health care provider with primary practice located at 200 W Beaver Ave Suite 100, State College PA 16801. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Engroff, Stephen L can be contacted via phone (814) 238-0587.Contact Information
Primary practice address
200 W Beaver Ave Suite 100
State College PA 16801
Phone: (814) 238-0587
Fax: (814) 238-3840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | DS035655 | Pennsylvania |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | MD422877 | Pennsylvania |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS035655 | Pennsylvania |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | MD422877 | Pennsylvania |
Profile Details
| NPI number | 1366474314 |
|---|---|
| LBN Legal business name | Engroff, Stephen L |
| Credentials | MD DDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Sep 12th, 2023 - about last year |
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 | 1366474314 | NPPES |
| Other | 79677 | GEISINGER HEALTH PLAN | |
| Other | EN1480132 | GEISINGER HEALTH PLAN |
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