Paul, Stephen Harry

Paul, Stephen Harry is an individual health care provider with primary practice located at 2206 Roosevelt Rd Ste A , Valparaiso IN 46383. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Paul, Stephen Harry can be contacted via phone (219) 464-9507.

Contact Information

Primary practice address
2206 Roosevelt Rd Ste A Valparaiso IN 46383
Fax: (219) 477-4690
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01038315 Indiana

Profile Details

NPI number 1821060286
LBN Legal business name Paul, Stephen Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Sep 14th, 2020 - about 5 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 1821060286 NPPES
Indiana MEDICAID 100358050A

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