Provider Demographics
NPI:1679469118
Name:PARENTE, STEPHEN CHRISTOPHER
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:CHRISTOPHER
Last Name:PARENTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2549 SOUTH BLVD W
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-1920
Mailing Address - Country:US
Mailing Address - Phone:248-861-6912
Mailing Address - Fax:
Practice Address - Street 1:2549 SOUTH BLVD W
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-1920
Practice Address - Country:US
Practice Address - Phone:248-861-6912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIP900000734117171W00000X, 172A00000X, 342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No171W00000XOther Service ProvidersContractor
No172A00000XOther Service ProvidersDriver