Zucker, Stephen Edward
Zucker, Stephen Edward is an sole proprietor health care provider with primary practice located at 621 Memorial Dr Suite 511, South Bend IN 46601-1063. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Zucker, Stephen Edward can be contacted via phone (574) 232-3919.Contact Information
Primary practice address
621 Memorial Dr Suite 511
South Bend IN 46601-1063
Phone: (574) 232-3919
Fax: (574) 233-1063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01034163 | Indiana |
Profile Details
| NPI number | 1801983242 |
|---|---|
| LBN Legal business name | Zucker, Stephen Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Dec 15th, 2009 - about 16 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 | 1801983242 | NPPES |
| Indiana | MEDICAID | 100224080 |
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