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
Phone: (717) 299-3020
Fax: (717) 299-4655
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649231515 | NPPES |
Pennsylvania | MEDICAID | 0012367330001 | |
Pennsylvania | Other | 01380302 | |
Pennsylvania | Other | 1813 |
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