Stewart, Jeffrey Lee

Stewart, Jeffrey Lee is an sole proprietor health care provider with primary practice located at 1062 E Riverside Dr Ste 102 , St George UT 84790-4454. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stewart, Jeffrey Lee can be contacted via phone (435) 634-9225.

Contact Information

Primary practice address
1062 E Riverside Dr Ste 102 St George UT 84790-4454
Fax: (435) 634-8426
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5285638-0501 Utah

Profile Details

NPI number 1184623092
LBN Legal business name Stewart, Jeffrey Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Jan 9th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184623092 NPPES
Utah Other P00028353 RR MEDICARE
Utah Other 870545030SJL RR MEDICARE
Utah Other 52856380500001 RR MEDICARE
Utah Other 107019857101 RR MEDICARE

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