Valletta, Stephen

Valletta, Stephen is an individual health care provider with primary practice located at 8121 N 18Th Way , Phoenix AZ 85020-3965. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Valletta, Stephen can be contacted via phone (602) 513-9568.

Contact Information

Primary practice address
8121 N 18Th Way Phoenix AZ 85020-3965
Phone: (602) 513-9568
Fax: (480) 777-1345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1326066697
LBN Legal business name Valletta, Stephen
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1326066697 NPPES
Arizona MEDICAID 901224

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