Stavalone, Jill K
Stavalone, Jill K is an individual health care provider with primary practice located at 1690 Big Oak Rd , Yardley PA 19067-6421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stavalone, Jill K can be contacted via phone (215) 493-1750.Contact Information
Primary practice address
1690 Big Oak Rd
Yardley PA 19067-6421
Phone: (215) 493-1750
Fax: (215) 493-1470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS009244L | Pennsylvania |
Profile Details
| NPI number | 1164499778 |
|---|---|
| LBN Legal business name | Stavalone, Jill K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Apr 17th, 2012 - about 12 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 | 1164499778 | NPPES |
| Pennsylvania | MEDICAID | 0017861890012 |
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