Julian, Jesse Stephens

Julian, Jesse Stephens is an individual health care provider with primary practice located at 506 Founders Pointe Trail , Carrollton VA 23314. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Julian, Jesse Stephens can be contacted via phone (757) 238-2178.

Contact Information

Primary practice address
506 Founders Pointe Trail Carrollton VA 23314
Phone: (757) 238-2178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X D41813 Maryland
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X D41813 Maryland

Profile Details

NPI number 1134193428
LBN Legal business name Julian, Jesse Stephens
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Nov 25th, 2009 - about 15 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 1134193428 NPPES
Maryland MEDICAID 765081700

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