Doll, Stephen J
Doll, Stephen J is an individual health care provider with primary practice located at 1255 Liberty Street , Redding CA 96001-0814. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Doll, Stephen J can be contacted via phone (530) 246-2467.Contact Information
Primary practice address
1255 Liberty Street
Redding CA 96001-0814
Phone: (530) 246-2467
Fax: (530) 242-9460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA13839 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 6393 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA13839 | California |
Profile Details
| NPI number | 1649345281 |
|---|---|
| LBN Legal business name | Doll, Stephen J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Apr 6th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649345281 | NPPES |
| California | MEDICAID | GR0079250 | |
| California | Other | 680310525 |
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