Izzi, Stephan Robert

Izzi, Stephan Robert is an individual health care provider with primary practice located at 7575 Ritchie Hwy , Glen Burnie MD 21061-8951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Izzi, Stephan Robert can be contacted via phone (410) 766-1444.

Contact Information

Primary practice address
7575 Ritchie Hwy Glen Burnie MD 21061-8951
Phone: (410) 766-1444
Fax: (410) 766-9453
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0025782 Maryland

Profile Details

NPI number 1629079173
LBN Legal business name Izzi, Stephan Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629079173 NPPES
Maryland Other 41551201 BSMD

Popular Providers