Tan, Stephanie

Tan, Stephanie is an individual health care provider with primary practice located at 55 Arch St Ste 1B , Akron OH 44304-1436. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tan, Stephanie can be contacted via phone (330) 375-3315.

Contact Information

Primary practice address
55 Arch St Ste 1B Akron OH 44304-1436
Fax: (330) 375-3760
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-06-9271T Ohio

Profile Details

NPI number 1104893213
LBN Legal business name Tan, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Apr 24th, 2013 - about 11 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 1104893213 NPPES
Ohio Other 0837182 MEDICARE ID
Ohio MEDICAID 2035256 MEDICARE ID
Ohio Other 577 MEDICARE ID
Ohio Other 729116 MEDICARE ID

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