Stephenson-Mccole, Jill L

Stephenson-Mccole, Jill L is an individual health care provider with primary practice located at 2040 Aurelius Rd , Holt MI 48842-1367. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stephenson-Mccole, Jill L can be contacted via phone (517) 694-2217.

Contact Information

Primary practice address
2040 Aurelius Rd Holt MI 48842-1367
Fax: (517) 694-2655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301093889 Michigan

Profile Details

NPI number 1831290402
LBN Legal business name Stephenson-Mccole, Jill L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 31st, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831290402 NPPES
Colorado MEDICAID 13334867

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