Stapleton, Jeremy Ryan
Stapleton, Jeremy Ryan is an individual health care provider with primary practice located at 401 Division St Ste 205 , South Charleston WV 25309-1455. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Stapleton, Jeremy Ryan can be contacted via phone (304) 342-0821.Contact Information
Primary practice address
401 Division St Ste 205
South Charleston WV 25309-1455
Phone: (304) 342-0821
Fax: (304) 345-6679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 03019 | Kentucky |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 03019 | Kentucky |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2126 | West Virginia |
Profile Details
| NPI number | 1609905462 |
|---|---|
| LBN Legal business name | Stapleton, Jeremy Ryan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jun 29th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609905462 | NPPES |
| Kentucky | Other | 107365 | SIHO - NIS |
| Kentucky | MEDICAID | 7100080660 | SIHO - NIS |
| Kentucky | Other | 000000628054 | SIHO - NIS |
| Kentucky | Other | 000028412U | SIHO - NIS |
| Kentucky | Other | 2546966 | SIHO - NIS |
| Kentucky | MEDICAID | 3810019300 | SIHO - NIS |
| Kentucky | Other | 3733152000 | SIHO - NIS |
| Kentucky | Other | 50025382 | SIHO - NIS |
| Kentucky | MEDICAID | 200963400 | SIHO - NIS |
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