Stormer, Jeffrey
Stormer, Jeffrey is an individual health care provider with primary practice located at 20 Medical Village Dr Ste 258, Edgewood KY 41017-5401. 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. Stormer, Jeffrey can be contacted via phone (859) 341-2666.Contact Information
Primary practice address
20 Medical Village Dr Ste 258
Edgewood KY 41017-5401
Phone: (859) 341-2666
Fax: (859) 341-7867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 1028649 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 023081 | Kentucky |
| Nursing Service Providers / Registered Nurse | 163W00000X | 154045 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | NA00804 | Ohio |
Profile Details
| NPI number | 1639154685 |
|---|---|
| LBN Legal business name | Stormer, Jeffrey |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Sep 16th, 2016 - 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 | 1639154685 | NPPES |
| Other | 000000537064 | ANTHEM | |
| MEDICAID | 200877890 | ANTHEM | |
| MEDICAID | 74001116 | ANTHEM | |
| Other | 9130423 | ANTHEM | |
| MEDICAID | 2076159 | ANTHEM |
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