Stayton, Jeremy

Stayton, Jeremy is an individual health care provider with primary practice located at 1711 S Stephenson Ave Ste 305 , Iron Mountain MI 49801-3650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stayton, Jeremy can be contacted via phone (906) 776-5200.

Contact Information

Primary practice address
1711 S Stephenson Ave Ste 305 Iron Mountain MI 49801-3650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125060385 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301111518 Michigan

Profile Details

NPI number 1093146763
LBN Legal business name Stayton, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2013
Last updated Jan 7th, 2020 - about 4 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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