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
Phone: (610) 642-5371
Fax: (610) 642-5658
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194723585 | NPPES |
Pennsylvania | MEDICAID | 0808737 |
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