Stange, Phillip Louis

Stange, Phillip Louis is an individual health care provider with primary practice located at 11828 Canon Blvd Ste E, Newport News VA 23606-2554. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stange, Phillip Louis can be contacted via phone (757) 599-4922.

Contact Information

Primary practice address
11828 Canon Blvd Ste E Newport News VA 23606-2554
Phone: (757) 599-4922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002323 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1692 Tennessee

Profile Details

NPI number 1750317798
LBN Legal business name Stange, Phillip Louis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 5th, 2019 - about 6 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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