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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538127907 NPPES
Pennsylvania MEDICAID 0006557540001

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