Smirlock, Stephen
Smirlock, Stephen is an sole proprietor health care provider with primary practice located at 1000 High St , Port Chester NY 10573-4402. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Smirlock, Stephen can be contacted via phone (917) 747-1749.Contact Information
Primary practice address
1000 High St
Port Chester NY 10573-4402
Phone: (917) 747-1749
Fax: (718) 724-1889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 25MD00166100 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N0022322 | New York |
Profile Details
| NPI number | 1952344673 |
|---|---|
| LBN Legal business name | Smirlock, Stephen |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jan 19th, 2021 - about 3 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 | 1952344673 | NPPES |
| New Jersey | MEDICAID | 8828369 | |
| New Jersey | MEDICAID | 00413369 |
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