Stephenson, Roberta Sue
Stephenson, Roberta Sue is an sole proprietor health care provider with primary practice located at 1901 S Cedar St Ste 103 , Tacoma WA 98405-2302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Stephenson, Roberta Sue can be contacted via phone (253) 272-1812.Contact Information
Primary practice address
1901 S Cedar St Ste 103
Tacoma WA 98405-2302
Phone: (253) 272-1812
Fax: (253) 682-1455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | MD00034144 | Washington |
Profile Details
| NPI number | 1881755726 |
|---|---|
| LBN Legal business name | Stephenson, Roberta Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1881755726 | NPPES |
| Washington | MEDICAID | 8196362 | |
| Washington | Other | ST8122 | |
| Washington | Other | 5206592 |
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