Roda, Stephen G

Roda, Stephen G is an individual health care provider with primary practice located at 90 Good Dr Ste 101 , Lancaster PA 17603-4360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roda, Stephen G can be contacted via phone (717) 299-3020.

Contact Information

Primary practice address
90 Good Dr Ste 101 Lancaster PA 17603-4360
Fax: (717) 299-4655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS005569L Pennsylvania

Profile Details

NPI number 1649231515
LBN Legal business name Roda, Stephen G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 9th, 2021 - about 4 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 1649231515 NPPES
Pennsylvania MEDICAID 0012367330001
Pennsylvania Other 01380302
Pennsylvania Other 1813

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