Moline, Stephanie Rose

Moline, Stephanie Rose is an individual health care provider with primary practice located at 601 S Sherman St , Spokane WA 99202-1311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Moline, Stephanie Rose can be contacted via phone (509) 228-1000.

Contact Information

Primary practice address
601 S Sherman St Spokane WA 99202-1311
Fax: (509) 252-9300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD00041718 Washington

Profile Details

NPI number 1225027436
LBN Legal business name Moline, Stephanie Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Mar 24th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225027436 NPPES
Other 7631MO ASURIS NW HEALTH
MEDICAID 8322315 ASURIS NW HEALTH
Other 000010140846 ASURIS NW HEALTH
Other 7744005 ASURIS NW HEALTH
MEDICAID 806453700 ASURIS NW HEALTH
Other KS665 ASURIS NW HEALTH
Other 0164026 ASURIS NW HEALTH
Other 910000395 ASURIS NW HEALTH

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