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
Phone: (435) 634-9225
Fax: (435) 634-8426
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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