Stiles, Eileen Weldon
Stiles, Eileen Weldon is an individual health care provider with primary practice located at 520 Medical Center Drive, Suite 201 , Medford OR 97504-4434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Stiles, Eileen Weldon can be contacted via phone (541) 789-5710.Contact Information
Primary practice address
520 Medical Center Drive, Suite 201
Medford OR 97504-4434
Phone: (541) 789-5710
Fax: (541) 789-5711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NN07370300 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 201391437NN-PP | Oregon |
Profile Details
| NPI number | 1114997244 |
|---|---|
| LBN Legal business name | Stiles, Eileen Weldon |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jan 30th, 2017 - about 9 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 | 1114997244 | NPPES |
| New Jersey | Other | 191642 | AMERIGROUP |
| New Jersey | Other | 2364882 | AMERIGROUP |
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