Sydney, Stephanie Lynn
Sydney, Stephanie Lynn is an individual health care provider with primary practice located at 12502 Willowbrook Rd , Cumberland MD 21502-6491. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Sydney, Stephanie Lynn can be contacted via phone (240) 964-8724.Contact Information
Primary practice address
12502 Willowbrook Rd
Cumberland MD 21502-6491
Phone: (240) 964-8724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C04552 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9116262 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0008276 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0110003700 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10002414A | Indiana |
Profile Details
| NPI number | 1528344926 |
|---|---|
| LBN Legal business name | Sydney, Stephanie Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2011 |
| Last updated | Nov 21st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528344926 | NPPES |
| Indiana | MEDICAID | 300011151 | |
| Indiana | MEDICAID | 7100369110 |
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