Stefan, Todd M
Stefan, Todd M is an individual health care provider with primary practice located at 3 Hospital Dr Ste 100 , Lewisburg PA 17837-9394. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Stefan, Todd M can be contacted via phone (570) 524-5056.Contact Information
Primary practice address
3 Hospital Dr Ste 100
Lewisburg PA 17837-9394
Phone: (570) 524-5056
Fax: (570) 524-5061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | MD067249L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD067249L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD-067249L | Pennsylvania |
Profile Details
| NPI number | 1477521391 |
|---|---|
| LBN Legal business name | Stefan, Todd M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jun 8th, 2022 - 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 | 1477521391 | NPPES |
| Pennsylvania | MEDICAID | 0017432610001 |
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