Sittenauer, Jackson

Sittenauer, Jackson is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Other Service Providers / Military Health Care Provider is his primary health care specialty. Sittenauer, Jackson can be contacted via phone (785) 221-0744.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (785) 221-0744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 0101267940 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X A193407 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35.150161 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X E-17506 Arkansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1831688084
LBN Legal business name Sittenauer, Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2018
Last updated Mar 23rd, 2024 - about 2 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.

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