Stachyra, Jessica L
Stachyra, Jessica L is an individual health care provider with primary practice located at 1 Hayden Bridge Way , Springfield OR 97477-1347. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Stachyra, Jessica L can be contacted via phone (541) 868-9430.Contact Information
Primary practice address
1 Hayden Bridge Way
Springfield OR 97477-1347
Phone: (541) 868-9430
Fax: (541) 868-9450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO183523 | Oregon |
Profile Details
| NPI number | 1265875082 |
|---|---|
| LBN Legal business name | Stachyra, Jessica L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2013 |
| Last updated | May 13th, 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 | 1265875082 | NPPES |
| Oregon | Other | DO183523 | MEDICAL LICENSE |
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