Stanelun, Jessica Anne
Stanelun, Jessica Anne is an individual health care provider with primary practice located at 1000 Eddy Street , Providence RI 02905. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Stanelun, Jessica Anne can be contacted via phone (401) 533-9100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Rhode Island |
Profile Details
| NPI number | 1770804304 |
|---|---|
| LBN Legal business name | Stanelun, Jessica Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2010 |
| Last updated | Mar 6th, 2020 - about 5 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 | 1770804304 | NPPES |
| Rhode Island | Other | 0614 | NHP RI |
| Rhode Island | MEDICAID | ES01788 | NHP RI |
| Rhode Island | Other | SB870 | NHP RI |
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