Jennison, Stephen H
Jennison, Stephen H is an individual health care provider with primary practice located at 619 E Mason St Suite 4P57, Springfield IL 62701-1034. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jennison, Stephen H can be contacted via phone (217) 788-0706.Contact Information
Primary practice address
619 E Mason St Suite 4P57
Springfield IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036-091807 | Illinois |
Profile Details
| NPI number | 1043391766 |
|---|---|
| LBN Legal business name | Jennison, Stephen H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jun 2nd, 2008 - about 17 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 | 1043391766 | NPPES |
| Illinois | Other | 060031123 | RAILROAD |
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