Stephenson, Jeremy
Stephenson, Jeremy is an individual health care provider with primary practice located at 1451 Diederich Blvd , Russell KY 41169-1718. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stephenson, Jeremy can be contacted via phone (606) 836-6683.Contact Information
Primary practice address
1451 Diederich Blvd
Russell KY 41169-1718
Phone: (606) 836-6683
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 004165 | West Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 006678 | Kentucky |
Profile Details
| NPI number | 1215470125 |
|---|---|
| LBN Legal business name | Stephenson, Jeremy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2016 |
| Last updated | Dec 4th, 2023 - about 3 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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