Stallbaumer, Jeremy James

Stallbaumer, Jeremy James is an individual health care provider with primary practice located at 1947 N Founders Cir , Wichita KS 67206-3548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Stallbaumer, Jeremy James can be contacted via phone (316) 613-4640.

Contact Information

Primary practice address
1947 N Founders Cir Wichita KS 67206-3548
Phone: (316) 613-4640
Fax: (316) 689-9769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2010010946 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 04-35526 Kansas

Profile Details

NPI number 1598986689
LBN Legal business name Stallbaumer, Jeremy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Dec 30th, 2013 - about 11 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 1598986689 NPPES
Kansas MEDICAID 200974790B

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