Stein, Jeannine Marie

Stein, Jeannine Marie is an individual health care provider with primary practice located at 7960 N Wickham Rd Suite 105, Melbourne FL 32940. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Stein, Jeannine Marie can be contacted via phone (321) 428-4545.

Contact Information

Primary practice address
7960 N Wickham Rd Suite 105 Melbourne FL 32940
Fax: (321) 421-7898
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME88079 Florida

Profile Details

NPI number 1407811235
LBN Legal business name Stein, Jeannine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Feb 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407811235 NPPES
Florida MEDICAID 280413100

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