Stupar, Jerry Joseph

Stupar, Jerry Joseph is an individual health care provider with primary practice located at 10605 Balboa Blvd Ste 100 , Granada Hills CA 91344-6367. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Stupar, Jerry Joseph can be contacted via phone (818) 366-0325.

Contact Information

Primary practice address
10605 Balboa Blvd Ste 100 Granada Hills CA 91344-6367
Phone: (818) 366-0325
Fax: (818) 363-8951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 613194 California

Profile Details

NPI number 1770641607
LBN Legal business name Stupar, Jerry Joseph
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 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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