Steppacher, Robert Clark
Steppacher, Robert Clark is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Vascular Surgery, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Steppacher, Robert Clark can be contacted via phone (508) 856-5599.Contact Information
Primary practice address
55 Lake Ave N Department Of Vascular Surgery
Worcester MA 01655-0002
Phone: (508) 856-5599
Fax: (508) 856-8239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036.128282 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 231144 | Massachusetts |
Profile Details
| NPI number | 1528129715 |
|---|---|
| LBN Legal business name | Steppacher, Robert Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Nov 12th, 2020 - about 4 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 | 1528129715 | NPPES |
| Massachusetts | MEDICAID | 110109603A |
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