Andracki, Stephen Bernard
Andracki, Stephen Bernard is an individual health care provider with primary practice located at 1397 S Loop Rd , Pahrump NV 89048-4729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Andracki, Stephen Bernard can be contacted via phone (775) 727-5500.Contact Information
Primary practice address
1397 S Loop Rd
Pahrump NV 89048-4729
Phone: (775) 727-5500
Fax: (775) 727-5696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5764 | Nevada |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5764 | Nevada |
Profile Details
| NPI number | 1598708901 |
|---|---|
| LBN Legal business name | Andracki, Stephen Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 14th, 2022 - about 4 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 | 1598708901 | NPPES |
| Nevada | MEDICAID | 1598708901 | |
| Nevada | Other | 5764 |
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