Raphael, Stephen Alan

Raphael, Stephen Alan is an sole proprietor health care provider with primary practice located at 409 2Nd Ave Suite 301, Collegeville PA 19426-3625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Raphael, Stephen Alan can be contacted via phone (610) 409-8830.

Contact Information

Primary practice address
409 2Nd Ave Suite 301 Collegeville PA 19426-3625
Phone: (610) 409-8830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 04068142 Pennsylvania

Profile Details

NPI number 1710989405
LBN Legal business name Raphael, Stephen Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Jul 8th, 2007 - about 17 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 1710989405 NPPES
Pennsylvania Other 0048146000 IBC PROVIDER ID
Pennsylvania Other 087602 IBC PROVIDER ID

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