Wallenhaupt, Stephen Lee

Wallenhaupt, Stephen Lee is an individual health care provider with primary practice located at 1718 E 4Th St Suite 701, Charlotte NC 28204-3261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Wallenhaupt, Stephen Lee can be contacted via phone (704) 316-5100.

Contact Information

Primary practice address
1718 E 4Th St Suite 701 Charlotte NC 28204-3261
Fax: (704) 316-5101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 26402 North Carolina

Profile Details

NPI number 1164421285
LBN Legal business name Wallenhaupt, Stephen Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 2007 - about 19 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 1164421285 NPPES
North Carolina MEDICAID 8985522

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