Stapleton, Jeremy Ryan

Stapleton, Jeremy Ryan is an individual health care provider with primary practice located at 401 Division St Ste 205 , South Charleston WV 25309-1455. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Stapleton, Jeremy Ryan can be contacted via phone (304) 342-0821.

Contact Information

Primary practice address
401 Division St Ste 205 South Charleston WV 25309-1455
Fax: (304) 345-6679
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 03019 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 03019 Kentucky
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2126 West Virginia

Profile Details

NPI number 1609905462
LBN Legal business name Stapleton, Jeremy Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jun 29th, 2023 - about last year

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 1609905462 NPPES
Kentucky Other 107365 SIHO - NIS
Kentucky MEDICAID 7100080660 SIHO - NIS
Kentucky Other 000000628054 SIHO - NIS
Kentucky Other 000028412U SIHO - NIS
Kentucky Other 2546966 SIHO - NIS
Kentucky MEDICAID 3810019300 SIHO - NIS
Kentucky Other 3733152000 SIHO - NIS
Kentucky Other 50025382 SIHO - NIS
Kentucky MEDICAID 200963400 SIHO - NIS

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