Koscherak, Stephen A

Koscherak, Stephen A is an individual health care provider with primary practice located at 16 Community Ln , Southwest Harbor ME 04679-4273. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Koscherak, Stephen A can be contacted via phone (207) 244-5630.

Contact Information

Primary practice address
16 Community Ln Southwest Harbor ME 04679-4273
Fax: (207) 244-4418
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0042341 New York

Profile Details

NPI number 1144290941
LBN Legal business name Koscherak, Stephen A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 25th, 2013 - about 9 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 1144290941 NPPES
Maine MEDICAID 1790764512-009

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