Stawicki, Jesse Joseph
Stawicki, Jesse Joseph is an individual health care provider with primary practice located at 1235 Whitehorse Mercerville Rd Suite 316 Bldg. C, Mercerville NJ 08619-3810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stawicki, Jesse Joseph can be contacted via phone (609) 581-5586.Contact Information
Primary practice address
1235 Whitehorse Mercerville Rd Suite 316 Bldg. C
Mercerville NJ 08619-3810
Phone: (609) 581-5586
Fax: (609) 581-5779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MB46599 | New Jersey |
Profile Details
| NPI number | 1497732598 |
|---|---|
| LBN Legal business name | Stawicki, Jesse Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Oct 13th, 2011 - about 13 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 | 1497732598 | NPPES |
| New Jersey | Other | 1K3956 | PHS/HEALTHNET |
| New Jersey | Other | 2261107 | PHS/HEALTHNET |
| New Jersey | Other | 223709512 | PHS/HEALTHNET |
| New Jersey | MEDICAID | 5404703 | PHS/HEALTHNET |
| New Jersey | Other | MEP111 | PHS/HEALTHNET |
| New Jersey | Other | 223709512 | PHS/HEALTHNET |
| New Jersey | Other | 4208912 | PHS/HEALTHNET |
| New Jersey | Other | 047593100 | PHS/HEALTHNET |
| New Jersey | Other | 110207564 | PHS/HEALTHNET |
| New Jersey | Other | 645148 | PHS/HEALTHNET |
| New Jersey | Other | 0927766 | PHS/HEALTHNET |
| New Jersey | Other | 2158854000 | PHS/HEALTHNET |
| New Jersey | Other | 987766 | PHS/HEALTHNET |
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