Phelan, Stephanie Fay

Phelan, Stephanie Fay is an individual health care provider with primary practice located at 2429 W Commerce St Ste A , Ocean Springs MS 39564-3124. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Phelan, Stephanie Fay can be contacted via phone (228) 875-1141.

Contact Information

Primary practice address
2429 W Commerce St Ste A Ocean Springs MS 39564-3124
Fax: (228) 875-6885
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 80145 Mississippi

Profile Details

NPI number 1962538082
LBN Legal business name Phelan, Stephanie Fay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2007
Last updated Feb 28th, 2022 - about 4 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 1962538082 NPPES
Mississippi MEDICAID 00119566

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