Miksic, Stephen
Miksic, Stephen is an sole proprietor health care provider with primary practice located at 35 Princeton Rd , Havertown PA 19083-3621. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Miksic, Stephen can be contacted via phone (610) 584-9721.Contact Information
Primary practice address
35 Princeton Rd
Havertown PA 19083-3621
Phone: (610) 584-9721
Fax: (610) 584-9721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PS004073L | Pennsylvania |
Profile Details
| NPI number | 1184765125 |
|---|---|
| LBN Legal business name | Miksic, Stephen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2007 |
| Last updated | Dec 21st, 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 | 1184765125 | NPPES |
| Pennsylvania | Other | PS004073-L | LICENSED PSYCHOLOGIST |
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