Stancil, Jon Scott

Stancil, Jon Scott is an individual health care provider with primary practice located at 1432 E Fire Tower Rd , Greenville NC 27858-4105. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Stancil, Jon Scott can be contacted via phone (252) 439-1150.

Contact Information

Primary practice address
1432 E Fire Tower Rd Greenville NC 27858-4105
Phone: (252) 439-1150
Fax: (252) 439-1152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 412 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 412 North Carolina
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 412 North Carolina

Profile Details

NPI number 1740241355
LBN Legal business name Stancil, Jon Scott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Aug 10th, 2017 - about 7 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 1740241355 NPPES
North Carolina MEDICAID 790801A
North Carolina Other 0801A

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