Stoopler, Eric T

Stoopler, Eric T is an individual health care provider with primary practice located at 3400 Spruce Street 5 White Building, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Stoopler, Eric T can be contacted via phone (215) 662-3580.

Contact Information

Primary practice address
3400 Spruce Street 5 White Building Philadelphia PA 19104
Fax: (215) 662-7445
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DS 035317 Pennsylvania
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DS035317 Pennsylvania

Profile Details

NPI number 1982649356
LBN Legal business name Stoopler, Eric T
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated May 23rd, 2012 - about 12 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 1982649356 NPPES
Pennsylvania MEDICAID 0019246970001

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