Kisiel, Stephen Lewis
Kisiel, Stephen Lewis is an individual health care provider with primary practice located at 42 Summer St Suite 301, Pittsfield MA 01201-4624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kisiel, Stephen Lewis can be contacted via phone (413) 442-0085.Contact Information
Primary practice address
42 Summer St Suite 301
Pittsfield MA 01201-4624
Phone: (413) 442-0085
Fax: (413) 464-9143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 223633 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 1770 | Maine |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 12658 | New Hampshire |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 223633 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1770 | Maine |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12658 | New Hampshire |
Profile Details
| NPI number | 1043219470 |
|---|---|
| LBN Legal business name | Kisiel, Stephen Lewis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Mar 15th, 2011 - about 13 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 | 1043219470 | NPPES |
| Massachusetts | Other | 10100817 | CDPHP |
| Massachusetts | Other | 214532 | CDPHP |
| Massachusetts | Other | 31730 | CDPHP |
| Massachusetts | Other | 4146652 | CDPHP |
| Massachusetts | Other | 37109 | CDPHP |
| Massachusetts | Other | 3958618 | CDPHP |
| Massachusetts | MEDICAID | 9768190 | CDPHP |
| Massachusetts | Other | J28997 | CDPHP |
| Massachusetts | Other | 233633 | CDPHP |
| Massachusetts | Other | 486859 | CDPHP |
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