Stephen Anthony Whitaker, Owner
Technician/Technologist, Optician in Wayne, PA. Individual provider (NPI-1).
NPI number1447394739
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1447394739
- Entity type
- Individual (NPI-1)
- Name
- Mr. Stephen Anthony Whitaker
- Credential
- Owner
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
271 E Swedesford RdWayne, PA 19087-1462
Phone 610-688-2686
Mailing address
271 E Swedesford RdWayne, PA 19087-1462
Phone 610-688-2686
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