Serfontein, Stephanus Johannes

Serfontein, Stephanus Johannes is an sole proprietor health care provider with primary practice located at 2418 Jefferson Ave , Pt Pleasant WV 25550-1528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Serfontein, Stephanus Johannes can be contacted via phone (304) 675-6835.

Contact Information

Primary practice address
2418 Jefferson Ave Pt Pleasant WV 25550-1528
Phone: (304) 675-6835
Fax: (304) 675-6849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21778 West Virginia

Profile Details

NPI number 1154420990
LBN Legal business name Serfontein, Stephanus Johannes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Dec 22nd, 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 1154420990 NPPES
Ohio MEDICAID 2548390
Ohio MEDICAID 3810001774

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