Stanley, Jonathan Edmund

Stanley, Jonathan Edmund is an individual health care provider with primary practice located at 527 Medical Park Dr Ste 302 , Bridgeport WV 26330-9009. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Stanley, Jonathan Edmund can be contacted via phone (681) 342-3870.

Contact Information

Primary practice address
527 Medical Park Dr Ste 302 Bridgeport WV 26330-9009
Phone: (681) 342-3870
Fax: (304) 842-7650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X WVDO2347 West Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 2347 West Virginia

Profile Details

NPI number 1992908537
LBN Legal business name Stanley, Jonathan Edmund
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Apr 5th, 2022 - about 3 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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