Fosback, Stephanie M

Fosback, Stephanie M is an individual health care provider with primary practice located at 825 Se Bishop Blvd Suite 200, Pullman WA 99163-5517. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fosback, Stephanie M can be contacted via phone (509) 332-2517.

Contact Information

Primary practice address
825 Se Bishop Blvd Suite 200 Pullman WA 99163-5517
Phone: (509) 332-2517
Fax: (509) 334-9247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M-10741 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60022454 Washington

Profile Details

NPI number 1760591622
LBN Legal business name Fosback, Stephanie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 7th, 2021 - about 4 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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