Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 249754 | MA |
N | 207RI0200X | Infectious Disease | 251269 | NY |
Y | 207RI0200X | Infectious Disease | 35.139794 | OH |
NPI | 1013113513 |
---|---|
Provider Name | Dr. Stephen Carpenter |
First Address | Solon, OH 44139-4680 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 02/02/2022 |