Provider Demographics
NPI:1396998738
Name:GILPIN, STEPHEN LEONARD (CNMT)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:LEONARD
Last Name:GILPIN
Suffix:
Gender:M
Credentials:CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HUNTER CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1978
Mailing Address - Country:US
Mailing Address - Phone:302-893-9741
Mailing Address - Fax:
Practice Address - Street 1:102 HUNTER CT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1978
Practice Address - Country:US
Practice Address - Phone:302-893-9741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE63132471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology