Kanarek, Stephen David
Kanarek, Stephen David is an individual health care provider with primary practice located at 10 Centennial Dr , Peabody MA 01960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kanarek, Stephen David can be contacted via phone (978) 535-1110.Contact Information
Primary practice address
10 Centennial Dr
Peabody MA 01960
Phone: (978) 535-1110
Fax: (978) 535-2907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35470 | Massachusetts |
Profile Details
| NPI number | 1447219944 |
|---|---|
| LBN Legal business name | Kanarek, Stephen David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Aug 10th, 2012 - about 12 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 | 1447219944 | NPPES |
| Massachusetts | MEDICAID | 2006197 |
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