Stepanczuk, Paul Phillip

Stepanczuk, Paul Phillip is an sole proprietor health care provider with primary practice located at 1650 45Th Ave , Munster IN 46321-3962. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Stepanczuk, Paul Phillip can be contacted via phone (219) 836-9488.

Contact Information

Primary practice address
1650 45Th Ave Munster IN 46321-3962
Phone: (219) 836-9488
Fax: (219) 836-9497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 07000758 Indiana
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X Illinois

Profile Details

NPI number 1780788190
LBN Legal business name Stepanczuk, Paul Phillip
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1780788190 NPPES
Illinois Other 90000152 BLUE CROSS BL SHIELD
Illinois Other 6002117465 BLUE CROSS BL SHIELD

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