Gollomp, Stephen Michael

Gollomp, Stephen Michael is an sole proprietor health care provider with primary practice located at 100 E Lancaster Ave Suite 161, Wynnewood PA 19096-3450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Gollomp, Stephen Michael can be contacted via phone (610) 642-5371.

Contact Information

Primary practice address
100 E Lancaster Ave Suite 161 Wynnewood PA 19096-3450
Fax: (610) 642-5658
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X MD024887E Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD024887E Pennsylvania

Profile Details

NPI number 1194723585
LBN Legal business name Gollomp, Stephen Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Feb 25th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194723585 NPPES
Pennsylvania MEDICAID 0808737

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