Lalka, Stephen Gary
Lalka, Stephen Gary is an individual health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Lalka, Stephen Gary can be contacted via phone (517) 205-7481.Contact Information
Primary practice address
205 N East Ave
Jackson MI 49201-1753
Phone: (517) 205-7481
Fax: (313) 876-1305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2005-01060 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01035930A | Indiana |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2005-01060 | North Carolina |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01035930A | Indiana |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 4301500422 | Michigan |
Profile Details
| NPI number | 1194737478 |
|---|---|
| LBN Legal business name | Lalka, Stephen Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Aug 1st, 2022 - about 2 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 | 1194737478 | NPPES |
| South Carolina | MEDICAID | N0106A | |
| South Carolina | Other | P00245249 | |
| South Carolina | Other | 1396N | |
| South Carolina | MEDICAID | 1194737478 | |
| South Carolina | MEDICAID | 5901224 |
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