Stein, Jeannine Marie
Stein, Jeannine Marie is an individual health care provider with primary practice located at 7960 N Wickham Rd Suite 105, Melbourne FL 32940. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Stein, Jeannine Marie can be contacted via phone (321) 428-4545.Contact Information
Primary practice address
7960 N Wickham Rd Suite 105
Melbourne FL 32940
Phone: (321) 428-4545
Fax: (321) 421-7898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME88079 | Florida |
Profile Details
| NPI number | 1407811235 |
|---|---|
| LBN Legal business name | Stein, Jeannine Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Feb 14th, 2020 - about 6 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 | 1407811235 | NPPES |
| Florida | MEDICAID | 280413100 |
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