Natyshok, Stephanie L

Natyshok, Stephanie L is an individual health care provider with primary practice located at 1212 Professional Blvd Suite B, Evansville IN 47714-8002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Natyshok, Stephanie L can be contacted via phone (812) 401-9030.

Contact Information

Primary practice address
1212 Professional Blvd Suite B Evansville IN 47714-8002
Phone: (812) 401-9030
Fax: (812) 401-9033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-001987 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Indiana

Profile Details

NPI number 1114969813
LBN Legal business name Natyshok, Stephanie L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 19th, 2015 - about 11 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 1114969813 NPPES
Illinois Other L97008 UMWA PROVIDER NUMBER

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