Stephenson, Jon Charles

Stephenson, Jon Charles is an individual health care provider with primary practice located at 109 N 28Th St E , Superior WI 54880-6548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stephenson, Jon Charles can be contacted via phone (715) 395-3930.

Contact Information

Primary practice address
109 N 28Th St E Superior WI 54880-6548
Phone: (715) 395-3930
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21317 Wisconsin

Profile Details

NPI number 1114978236
LBN Legal business name Stephenson, Jon Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Oct 19th, 2007 - about 18 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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