Whitenack, Stephan Harris
Whitenack, Stephan Harris is an individual health care provider with primary practice located at 5401 Old York Rd Klein 101, Philadelphia PA 19141-3030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Whitenack, Stephan Harris can be contacted via phone (215) 456-6178.Contact Information
Primary practice address
5401 Old York Rd Klein 101
Philadelphia PA 19141-3030
Phone: (215) 456-6178
Fax: (215) 456-6204
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD016782E | Pennsylvania |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD016782E | Pennsylvania |
Profile Details
NPI number | 1538127907 |
---|---|
LBN Legal business name | Whitenack, Stephan Harris |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | Jan 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538127907 | NPPES |
Pennsylvania | MEDICAID | 0006557540001 |
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