Moline, Stephanie Rose
Moline, Stephanie Rose is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 130 , Coeur D Alene ID 83814-4404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Moline, Stephanie Rose can be contacted via phone (208) 625-4700.Contact Information
Primary practice address
700 W Ironwood Dr Ste 130
Coeur D Alene ID 83814-4404
Phone: (208) 625-4700
Fax: (208) 625-4701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 7761579 | Idaho |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | MD00041718 | Washington |
Profile Details
| NPI number | 1225027436 |
|---|---|
| LBN Legal business name | Moline, Stephanie Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jul 24th, 2025 - about last year |
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 | 1225027436 | NPPES |
| Other | 910000395 | RAILROAD MEDICARE | |
| MEDICAID | 8322315 | RAILROAD MEDICARE | |
| Other | 0164026 | RAILROAD MEDICARE | |
| Other | 7744005 | RAILROAD MEDICARE | |
| MEDICAID | 806453700 | RAILROAD MEDICARE | |
| Other | 7631MO | RAILROAD MEDICARE | |
| Other | 000010140846 | RAILROAD MEDICARE | |
| Other | KS665 | RAILROAD MEDICARE |
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