Jolley, Stephen G
Jolley, Stephen G is an sole proprietor health care provider with primary practice located at 271 Upper Rosian Dr , Soldotna AK 99669-7867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Jolley, Stephen G can be contacted via phone (907) 382-4480.Contact Information
Primary practice address
271 Upper Rosian Dr
Soldotna AK 99669-7867
Phone: (907) 382-4480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 1956 | Alaska |
Profile Details
| NPI number | 1699717579 |
|---|---|
| LBN Legal business name | Jolley, Stephen G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jun 30th, 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 | 1699717579 | NPPES |
| Alaska | MEDICAID | MD5279 |
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