Stinebeck, Jared C

Stinebeck, Jared C is an individual health care provider with primary practice located at 12479 Telecom Dr , Temple Terrace FL 33637-0913. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stinebeck, Jared C can be contacted via phone (813) 972-4199.

Contact Information

Primary practice address
12479 Telecom Dr Temple Terrace FL 33637-0913
Fax: (813) 972-5753
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105546 Florida

Profile Details

NPI number 1265748438
LBN Legal business name Stinebeck, Jared C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2010
Last updated Sep 8th, 2014 - about 12 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 1265748438 NPPES
Florida MEDICAID 002713000

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