Kisiel, Stephen Lewis

Kisiel, Stephen Lewis is an individual health care provider with primary practice located at 42 Summer St Suite 301, Pittsfield MA 01201-4624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kisiel, Stephen Lewis can be contacted via phone (413) 442-0085.

Contact Information

Primary practice address
42 Summer St Suite 301 Pittsfield MA 01201-4624
Phone: (413) 442-0085
Fax: (413) 464-9143
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 223633 Massachusetts
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 1770 Maine
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 12658 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 223633 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1770 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12658 New Hampshire

Profile Details

NPI number 1043219470
LBN Legal business name Kisiel, Stephen Lewis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 15th, 2011 - about 15 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 1043219470 NPPES
Massachusetts Other 10100817 CDPHP
Massachusetts Other 214532 CDPHP
Massachusetts Other 31730 CDPHP
Massachusetts Other 4146652 CDPHP
Massachusetts Other 37109 CDPHP
Massachusetts Other 3958618 CDPHP
Massachusetts MEDICAID 9768190 CDPHP
Massachusetts Other J28997 CDPHP
Massachusetts Other 233633 CDPHP
Massachusetts Other 486859 CDPHP

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