Stem, Jesse L
Stem, Jesse L is an sole proprietor health care provider with primary practice located at 1609 Pasadena Ave S Ste 1A1 , South Pasadena FL 33707-4565. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Stem, Jesse L can be contacted via phone (727) 490-9115.Contact Information
Primary practice address
1609 Pasadena Ave S Ste 1A1
South Pasadena FL 33707-4565
Phone: (727) 490-9115
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101230890 | Virginia |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | ME161780 | Florida |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 0101230890 | Virginia |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME161780 | Florida |
Profile Details
NPI number | 1619902707 |
---|---|
LBN Legal business name | Stem, Jesse L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 11th, 2006 |
Last updated | Feb 5th, 2024 - about 9 months 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 | 1619902707 | NPPES |
Virginia | MEDICAID | 010160952 | |
Virginia | MEDICAID | 1619902707 | |
Virginia | Other | P00220195 |
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