Stam, Katherine L

Stam, Katherine L is an individual health care provider with primary practice located at 713 Troy Schenectady Rd Suite 215, Latham NY 12110-2490. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is her primary health care specialty. Stam, Katherine L can be contacted via phone (518) 713-5347.

Contact Information

Primary practice address
713 Troy Schenectady Rd Suite 215 Latham NY 12110-2490
Phone: (518) 713-5347
Fax: (518) 713-5359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 211086 New York
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 211086 New York

Profile Details

NPI number 1245329622
LBN Legal business name Stam, Katherine L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 14th, 2012 - about 12 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 1245329622 NPPES
New York Other 08885 MVP
New York MEDICAID 01871636 MVP
New York Other 070820000064 MVP
New York Other 000490182005 MVP
New York Other 5551692 MVP
New York Other 201082 MVP
New York Other 10027960 MVP
New York Other 119580 MVP
New York Other 6D0821 MVP

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