Stukovsky, Stephen Stewart
Stukovsky, Stephen Stewart is an individual health care provider with primary practice located at 1025 153Rd St Se Ste 200 , Mill Creek WA 98012-4051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stukovsky, Stephen Stewart can be contacted via phone (425) 338-4000.Contact Information
Primary practice address
1025 153Rd St Se Ste 200
Mill Creek WA 98012-4051
Phone: (425) 338-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A100366 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00048054 | Washington |
Profile Details
| NPI number | 1467543306 |
|---|---|
| LBN Legal business name | Stukovsky, Stephen Stewart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Apr 25th, 2023 - about last year |
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 | 1467543306 | NPPES |
| Washington | MEDICAID | 1056698 |
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