Stiles, Jeffrey C

Stiles, Jeffrey C is an individual health care provider with primary practice located at 55 W Tietan St , Walla Walla WA 99362-4445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Stiles, Jeffrey C can be contacted via phone (509) 525-3720.

Contact Information

Primary practice address
55 W Tietan St Walla Walla WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 525-4691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00036212 Washington

Profile Details

NPI number 1396719456
LBN Legal business name Stiles, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 27th, 2007 - about 19 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 1396719456 NPPES
Washington Other 70011278 RAIL ROAD MEDICARE
Washington Other 121588 RAIL ROAD MEDICARE
Washington MEDICAID 151119 RAIL ROAD MEDICARE
Washington MEDICAID 8226649 RAIL ROAD MEDICARE

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