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
Phone: (704) 316-5100
Fax: (704) 316-5101
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164421285 | NPPES |
| North Carolina | MEDICAID | 8985522 |
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