Stang, Jill T

Stang, Jill T is an individual health care provider with primary practice located at 1520 Northway Court Centracare Clinic Heartland, St Cloud MN 56303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Stang, Jill T can be contacted via phone (320) 251-1775.

Contact Information

Primary practice address
1520 Northway Court Centracare Clinic Heartland St Cloud MN 56303
Phone: (320) 251-1775
Fax: (320) 240-3131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R1237351 Minnesota

Profile Details

NPI number 1992796841
LBN Legal business name Stang, Jill T
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 7th, 2023 - about 2 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 1992796841 NPPES
Other 002219500 MEDICAL ASSISTANCE
Other 1014181 MEDICAL ASSISTANCE
Other 86D79ST MEDICAL ASSISTANCE
Other HP23116 MEDICAL ASSISTANCE
Other R1237351 MEDICAL ASSISTANCE
Other 0110555 MEDICAL ASSISTANCE
Other 122925 MEDICAL ASSISTANCE

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