Hollenberg, Stephen P

Hollenberg, Stephen P is an individual health care provider with primary practice located at 2405 W Lexington Ave , Elkhart IN 46514-1417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Hollenberg, Stephen P can be contacted via phone (574) 295-8805.

Contact Information

Primary practice address
2405 W Lexington Ave Elkhart IN 46514-1417
Fax: (574) 522-0039
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 01028966 Indiana

Profile Details

NPI number 1467489112
LBN Legal business name Hollenberg, Stephen P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 9th, 2007 - about 19 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 1467489112 NPPES
Indiana Other 000000082176 ANTHEM BLUE CROSS
Indiana MEDICAID 100326840 ANTHEM BLUE CROSS
Indiana Other 15835 ANTHEM BLUE CROSS

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