Myers, Stephan R
Myers, Stephan R is an sole proprietor health care provider with primary practice located at 2603 Keiser Blvd Suite 104, Wyomissing PA 19610-3341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Myers, Stephan R can be contacted via phone (484) 628-3150.Contact Information
Primary practice address
2603 Keiser Blvd Suite 104
Wyomissing PA 19610-3341
Phone: (484) 628-3150
Fax: (484) 628-3139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35-04-8912 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD050027L | Pennsylvania |
Profile Details
| NPI number | 1225045883 |
|---|---|
| LBN Legal business name | Myers, Stephan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Nov 18th, 2014 - about 11 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 | 1225045883 | NPPES |
| Pennsylvania | MEDICAID | 102678170 |
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