Stuhldreher, Jacquelenn Marie

Stuhldreher, Jacquelenn Marie is an individual health care provider with primary practice located at 3000 Coliseum Dr Ste 100 , Hampton VA 23666-5963. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Stuhldreher, Jacquelenn Marie can be contacted via phone (757) 736-7250.

Contact Information

Primary practice address
3000 Coliseum Dr Ste 100 Hampton VA 23666-5963
Phone: (757) 736-7250
Fax: (757) 224-2198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35121246 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35.121246 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101266205 Virginia

Profile Details

NPI number 1952563728
LBN Legal business name Stuhldreher, Jacquelenn Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Oct 9th, 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 1952563728 NPPES
Ohio MEDICAID 0384878

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