Perry, Stephanie L

Perry, Stephanie L is an individual health care provider with primary practice located at 100 Hazel Ln , Sewickley PA 15143-1249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Perry, Stephanie L can be contacted via phone (412) 749-6821.

Contact Information

Primary practice address
100 Hazel Ln Sewickley PA 15143-1249
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD062061L Pennsylvania

Profile Details

NPI number 1104842434
LBN Legal business name Perry, Stephanie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 16th, 2015 - about 9 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 1104842434 NPPES
Pennsylvania MEDICAID 0016480840005

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