Stephenson, Jeremy

Stephenson, Jeremy is an individual health care provider with primary practice located at 1451 Diederich Blvd , Russell KY 41169-1718. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stephenson, Jeremy can be contacted via phone (606) 836-6683.

Contact Information

Primary practice address
1451 Diederich Blvd Russell KY 41169-1718
Phone: (606) 836-6683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 004165 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 006678 Kentucky

Profile Details

NPI number 1215470125
LBN Legal business name Stephenson, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2016
Last updated Dec 4th, 2023 - about last year

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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