Wesztergom, Stephanie G
Wesztergom, Stephanie G is an individual health care provider with primary practice located at 1057 12Th Ave , Longview WA 98632-2509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wesztergom, Stephanie G can be contacted via phone (360) 636-3892.Contact Information
Primary practice address
1057 12Th Ave
Longview WA 98632-2509
Phone: (360) 636-3892
Fax: (360) 414-1342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30007922 | Washington |
Profile Details
| NPI number | 1497715882 |
|---|---|
| LBN Legal business name | Wesztergom, Stephanie G |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jan 4th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497715882 | NPPES |
| Washington | MEDICAID | 9654476 |
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