Esser, Stephan M.
Esser, Stephan M. is an individual health care provider with primary practice located at 232 Ponte Vedra Park Dr , Ponte Vedra Beach FL 32082-6600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Esser, Stephan M. can be contacted via phone (904) 634-0640.Contact Information
Primary practice address
232 Ponte Vedra Park Dr
Ponte Vedra Beach FL 32082-6600
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 149124 | North Carolina |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ME112692 | Florida |
Profile Details
NPI number | 1154596898 |
---|---|
LBN Legal business name | Esser, Stephan M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2008 |
Last updated | Mar 25th, 2015 - about 10 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 | 1154596898 | NPPES |
Florida | MEDICAID | 007267700 | |
Florida | MEDICAID | 12057 |
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