Stephenson, Jill Stanley

Stephenson, Jill Stanley is an individual health care provider with primary practice located at 3500 Gaston Ave Suite 958, Dallas TX 75246-2017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stephenson, Jill Stanley can be contacted via phone (214) 826-6276.

Contact Information

Primary practice address
3500 Gaston Ave Suite 958 Dallas TX 75246-2017
Fax: (214) 826-6223
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M3752 Texas

Profile Details

NPI number 1073521886
LBN Legal business name Stephenson, Jill Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Aug 23rd, 2011 - about 14 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 1073521886 NPPES
Texas Other 8F8666 BCBS

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