Wall, Stephanie Ann
Wall, Stephanie Ann is an individual health care provider with primary practice located at 14909 Health Center Dr 359, Bowie MD 20716-1007. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Wall, Stephanie Ann can be contacted via phone (240) 308-0809.Contact Information
Primary practice address
14909 Health Center Dr 359
Bowie MD 20716-1007
Phone: (240) 308-0809
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | SA0057 | District of Columbia |
Profile Details
| NPI number | 1003140278 |
|---|---|
| LBN Legal business name | Wall, Stephanie Ann |
| Credentials | CSA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2009 |
| Last updated | Mar 22nd, 2017 - about 9 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 | 1003140278 | NPPES |
| Other | 1265423016 | GROUP NPI |
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