Provider Demographics
NPI:1689748386
Name:STINEBISER, MIKETTE CHRISTINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MIKETTE
Middle Name:CHRISTINE
Last Name:STINEBISER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:MIKETTE
Other - Middle Name:CHRISTINE
Other - Last Name:ARTHURS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:805 REMBRANDT CIRCLE
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642
Mailing Address - Country:US
Mailing Address - Phone:724-864-8287
Mailing Address - Fax:
Practice Address - Street 1:805 REMBRANDT CIRCLE
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642
Practice Address - Country:US
Practice Address - Phone:724-864-8287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036508L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist