Stoudt, Michelle L.

Stoudt, Michelle L. is an individual health care provider with primary practice located at 303 Benner Pk Ste 1 , State College PA 16801-7304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as her primary health care specialty. Stoudt, Michelle L. can be contacted via phone (814) 272-5660.

Contact Information

Primary practice address
303 Benner Pk Ste 1 State College PA 16801-7304
Phone: (814) 272-5660
Fax: (814) 272-5675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X OS008587L Pennsylvania

Profile Details

NPI number 1689643660
LBN Legal business name Stoudt, Michelle L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 30th, 2024 - about 2 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 1689643660 NPPES
Pennsylvania MEDICAID 0017454350004

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