1326023888 NPI number — STEPHANIE HANH LE MD

Table of content: STEPHANIE HANH LE MD (NPI 1326023888)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326023888 NPI number — STEPHANIE HANH LE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LE
Provider First Name:
STEPHANIE
Provider Middle Name:
HANH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LE
Provider Other First Name:
HANH
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1326023888
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 791
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARNEGIE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15106-0791
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-655-4362
Provider Business Mailing Address Fax Number:
412-653-7684

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
249 THREE SPRINGS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEIRTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-919-2077
Provider Business Practice Location Address Fax Number:
304-914-4374
Provider Enumeration Date:
12/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208VP0014X , with the licence number:  MD425965 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1013617430001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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