Provider Demographics
NPI:1285173914
Name:PHYSICIANS BY STEIN
Entity type:Organization
Organization Name:PHYSICIANS BY STEIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIALS
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-625-5269
Mailing Address - Street 1:1200 SYCAMORE LINE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-4029
Mailing Address - Country:US
Mailing Address - Phone:419-625-5269
Mailing Address - Fax:
Practice Address - Street 1:1200 SYCAMORE LINE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-4029
Practice Address - Country:US
Practice Address - Phone:419-625-5269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty