Gumban, Stephanie Ingrid B

Gumban, Stephanie Ingrid B is an individual health care provider with primary practice located at 201 Lower Notch Rd # A3 , Little Falls NJ 07424-1802. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Gumban, Stephanie Ingrid B can be contacted via phone (973) 837-6600.

Contact Information

Primary practice address
201 Lower Notch Rd # A3 Little Falls NJ 07424-1802
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 40QA01758700 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01758700 New Jersey

Profile Details

NPI number 1609387000
LBN Legal business name Gumban, Stephanie Ingrid B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2017
Last updated Jun 16th, 2018 - about 7 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 1609387000 NPPES
Other 1609387000 NPI

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