Roberts, Stephanie B
Roberts, Stephanie B is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. 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. Roberts, Stephanie B can be contacted via phone (360) 414-7878.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2310
Phone: (360) 414-7878
Fax: (360) 414-7876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004487 | Washington |
Profile Details
| NPI number | 1881686194 |
|---|---|
| LBN Legal business name | Roberts, Stephanie B |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jun 26th, 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 | 1881686194 | NPPES |
| Washington | Other | 0188925 | LABOR & IND. |
| Washington | Other | 8940047 | LABOR & IND. |
| Washington | MEDICAID | 8406696 | LABOR & IND. |
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