Pardridge, Stephen Wesley
Pardridge, Stephen Wesley is an sole proprietor health care provider with primary practice located at 2807 Market St Suite 1, Camp Hill PA 17011-4535. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pardridge, Stephen Wesley can be contacted via phone (717) 737-7717.Contact Information
Primary practice address
2807 Market St Suite 1
Camp Hill PA 17011-4535
Phone: (717) 737-7717
Fax: (717) 737-7718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OETO8728 | Pennsylvania |
Profile Details
| NPI number | 1619038858 |
|---|---|
| LBN Legal business name | Pardridge, Stephen Wesley |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Sep 30th, 2009 - about 16 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 | 1619038858 | NPPES |
| Pennsylvania | MEDICAID | 001940672-0001 |
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