Ettinghausen, Stephen E

Ettinghausen, Stephen E is an sole proprietor health care provider with primary practice located at 1415 Portland Ave Suite 245, Rochester NY 14621-3038. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Ettinghausen, Stephen E can be contacted via phone (585) 922-4874.

Contact Information

Primary practice address
1415 Portland Ave Suite 245 Rochester NY 14621-3038
Phone: (585) 922-4874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 138462 New York
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 138462 New York

Profile Details

NPI number 1225068638
LBN Legal business name Ettinghausen, Stephen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Aug 6th, 2012 - about 12 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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