Stillman, Jay N

Stillman, Jay N is an individual health care provider with primary practice located at 225 Abraham Flexner Way , Louisville KY 40202-1846. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Stillman, Jay N can be contacted via phone (502) 561-4263.

Contact Information

Primary practice address
225 Abraham Flexner Way Louisville KY 40202-1846
Phone: (502) 561-4263
Fax: (502) 561-4221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28098755A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2031A Kentucky

Profile Details

NPI number 1326032384
LBN Legal business name Stillman, Jay N
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 2nd, 2020 - about 6 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 1326032384 NPPES
Indiana MEDICAID 100475380

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