Stephen Edward Irwin
Oral and Maxillofacial Pathology
317 North Eleventh Street
Sunbury
, Pennsylvania 17801
Stephen Edward Irwin
Oral and Maxillofacial Pathology
317 North Eleventh Street
Sunbury
, Pennsylvania 17801
(570) 286-0595
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Stephen Edward Irwin
- 317 North Eleventh Street
- Sunbury, PA
- Zip : 17801
- Fax : (570) 286-0595
- Phone : (570) 286-1631
Second Address
- Stephen Edward Irwin
- 317 North Eleventh Street
- Sunbury, PA
- Zip : 17801
- Fax : (570) 286-0595
- Phone : (570) 286-1631
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0106X | Oral and Maxillofacial Pathology | DA01718A | PA |
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DS017218L | PA |
National Provider Identifier
| NPI | 1003847625 |
|---|---|
| Provider Name | Stephen Edward Irwin |
| First Address | Sunbury, PA 17801 |
| Second Address | Sunbury, PA 17801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10402 | GEISINGER HEALTH PLAN (01) | PA |
| 50010670 | CAPITAL BLUE CROSS (01) | PA |
| T30186 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.