Healthcare Provider Details
I. General information
NPI: 1437107000
Provider Name (Legal Business Name): BRANDI S. STEIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/05/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
740 E STATE ST
SHARON PA
16146-3328
US
IV. Provider business mailing address
699 E STATE ST
SHARON PA
16146-2057
US
V. Phone/Fax
- Phone: 724-983-3924
- Fax: 724-983-5661
- Phone: 724-983-3820
- Fax: 724-983-3941
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | MA052307 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: