Healthcare Provider Details
I. General information
NPI: 1013065143
Provider Name (Legal Business Name): STEVEN AARON SANET D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/08/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3524 SILVERSIDE RD 37
WILMINGTON DE
19810-4929
US
IV. Provider business mailing address
122 CALVARESE LN
WAYNE PA
19087-2932
US
V. Phone/Fax
- Phone: 302-477-1244
- Fax: 302-477-1262
- Phone: 610-291-4159
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | C20004818 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: