Theccanat, Stephen
Theccanat, Stephen is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Theccanat, Stephen can be contacted via phone (732) 923-6900.Contact Information
Primary practice address
300 2Nd Ave
Long Branch NJ 07740-6303
Phone: (732) 923-6900
Fax: (732) 923-6914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA06166600 | New Jersey |
Profile Details
| NPI number | 1831261288 |
|---|---|
| LBN Legal business name | Theccanat, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Oct 14th, 2011 - about 15 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 | 1831261288 | NPPES |
| New Jersey | MEDICAID | 7203608 |
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