Wasilewski, Stephen A
Wasilewski, Stephen A is an sole proprietor health care provider with primary practice located at 191 5Th Street West , Ketchum ID 83340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wasilewski, Stephen A can be contacted via phone (208) 726-5207.Contact Information
Primary practice address
191 5Th Street West
Ketchum ID 83340
Phone: (208) 726-5207
Fax: (208) 726-8948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M5774 | Idaho |
Profile Details
| NPI number | 1700827946 |
|---|---|
| LBN Legal business name | Wasilewski, Stephen A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Sep 6th, 2012 - about 14 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 | 1700827946 | NPPES |
| Idaho | MEDICAID | 002717800 | |
| Idaho | Other | P01032143 |
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