Swope, Stephanie Heather

Swope, Stephanie Heather is an individual health care provider with primary practice located at 3050 Montvale Dr Ste A , Springfield IL 62704-6924. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Swope, Stephanie Heather can be contacted via phone (217) 726-8096.

Contact Information

Primary practice address
3050 Montvale Dr Ste A Springfield IL 62704-6924
Phone: (217) 726-8096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2005022738 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036113810 Illinois

Profile Details

NPI number 1164484846
LBN Legal business name Swope, Stephanie Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164484846 NPPES
Missouri MEDICAID 200010426
Missouri MEDICAID 036113810

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