Provider Demographics
NPI:1659567774
Name:STEVEN V. SILVERSTEIN, M.D., P.C.
Entity Type:Organization
Organization Name:STEVEN V. SILVERSTEIN, M.D., P.C.
Other - Org Name:INLAND NORTHWEST UROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:VAUGHN
Authorized Official - Last Name:SILVERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-765-3005
Mailing Address - Street 1:801 W 5TH AVE STE 404
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2841
Mailing Address - Country:US
Mailing Address - Phone:800-765-3005
Mailing Address - Fax:509-747-3826
Practice Address - Street 1:801 W 5TH AVE STE 404
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2841
Practice Address - Country:US
Practice Address - Phone:800-765-3005
Practice Address - Fax:509-747-3826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00018870208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7140213Medicaid