Stienecker, Roger Scott
Stienecker, Roger Scott is an individual health care provider with primary practice located at 2231 Carew St , Fort Wayne IN 46805-4713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Stienecker, Roger Scott can be contacted via phone (260) 373-9935.Contact Information
Primary practice address
2231 Carew St
Fort Wayne IN 46805-4713
Phone: (260) 373-9935
Fax: (260) 373-9926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 35066788S | Ohio |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 01070327A | Indiana |
Profile Details
| NPI number | 1962494971 |
|---|---|
| LBN Legal business name | Stienecker, Roger Scott |
| Credentials | M.D. FACP FSHEA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962494971 | NPPES |
| Indiana | Other | P01039781 | RR MEDICARE |
| Indiana | MEDICAID | 0976421 | RR MEDICARE |
| Indiana | MEDICAID | 201040910 | RR MEDICARE |
| Indiana | Other | 000000739208 | RR MEDICARE |
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