Iacob, Stefan

Iacob, Stefan is an sole proprietor health care provider with primary practice located at 14239 W Bell Rd Ste 108 , Surprise AZ 85374-2470. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Iacob, Stefan can be contacted via phone (623) 248-4283.

Contact Information

Primary practice address
14239 W Bell Rd Ste 108 Surprise AZ 85374-2470
Phone: (623) 248-4283
Fax: (623) 440-4255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3467 Arizona

Profile Details

NPI number 1851437503
LBN Legal business name Iacob, Stefan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated May 3rd, 2023 - about last year

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 1851437503 NPPES
Arizona MEDICAID 438998

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