Jean Mary, Wanna Stephanie

Jean Mary, Wanna Stephanie is an individual health care provider with primary practice located at 5515 Peach St , Erie PA 16509-2603. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Jean Mary, Wanna Stephanie can be contacted via phone (814) 864-4031.

Contact Information

Primary practice address
5515 Peach St Erie PA 16509-2603
Phone: (814) 864-4031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0000 Pennsylvania

Profile Details

NPI number 1942707062
LBN Legal business name Jean Mary, Wanna Stephanie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2018
Last updated Apr 6th, 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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