Rea, Stephanie A

Rea, Stephanie A is an individual health care provider with primary practice located at 8338 Allen Road Suite 101, Allen Park MI 48101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Rea, Stephanie A can be contacted via phone (313) 386-5500.

Contact Information

Primary practice address
8338 Allen Road Suite 101 Allen Park MI 48101
Phone: (313) 386-5500
Fax: (313) 386-1339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5601005671 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005671 Michigan

Profile Details

NPI number 1356678866
LBN Legal business name Rea, Stephanie A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2009
Last updated Mar 9th, 2016 - about 8 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 1356678866 NPPES
Michigan Other 5601005671 ST LISC

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