Stephan, Eugena Baziuk
Stephan, Eugena Baziuk is an individual health care provider with primary practice located at 600 Chestnut Street Ext , Bradford PA 16701-5438. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Stephan, Eugena Baziuk can be contacted via phone (814) 362-8478.Contact Information
Primary practice address
600 Chestnut Street Ext
Bradford PA 16701-5438
Phone: (814) 362-8478
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 40838 | New York |
Profile Details
| NPI number | 1508180118 |
|---|---|
| LBN Legal business name | Stephan, Eugena Baziuk |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2010 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1508180118 | NPPES |
| Pennsylvania | MEDICAID | 1032395030001 |
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