Wieczorek, Stephen M
Wieczorek, Stephen M is an sole proprietor health care provider with primary practice located at 3263 Pine Ave , Erie PA 16504-1159. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wieczorek, Stephen M can be contacted via phone (814) 456-7862.Contact Information
Primary practice address
3263 Pine Ave
Erie PA 16504-1159
Phone: (814) 456-7862
Fax: (814) 452-1803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC002919L | Pennsylvania |
Profile Details
| NPI number | 1740246701 |
|---|---|
| LBN Legal business name | Wieczorek, Stephen M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jan 1st, 2013 - about 12 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 | 1740246701 | NPPES |
| Pennsylvania | MEDICAID | 0010471550002 |
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