Wasilewski, Stephen A

Wasilewski, Stephen A is an sole proprietor health care provider with primary practice located at 191 5Th Street West , Ketchum ID 83340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wasilewski, Stephen A can be contacted via phone (208) 726-5207.

Contact Information

Primary practice address
191 5Th Street West Ketchum ID 83340
Phone: (208) 726-5207
Fax: (208) 726-8948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M5774 Idaho

Profile Details

NPI number 1700827946
LBN Legal business name Wasilewski, Stephen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Sep 6th, 2012 - about 13 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 1700827946 NPPES
Idaho MEDICAID 002717800
Idaho Other P01032143

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