Van Iderstine, Stephanie
Van Iderstine, Stephanie is an individual health care provider with primary practice located at 305 Maple St , East Longmeadow MA 01028-2765. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Van Iderstine, Stephanie can be contacted via phone (413) 525-6361.Contact Information
Primary practice address
305 Maple St
East Longmeadow MA 01028-2765
Phone: (413) 525-6361
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 9202 | Massachusetts |
Profile Details
| NPI number | 1710420104 |
|---|---|
| LBN Legal business name | Van Iderstine, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2016 |
| Last updated | Dec 2nd, 2016 - about 9 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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