Stepnicka, Jill Kathleen

Stepnicka, Jill Kathleen is an individual health care provider with primary practice located at 4385 Johns Creek Pkwy Suite 200, Suwanee GA 30024-6093. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Stepnicka, Jill Kathleen can be contacted via phone (770) 418-0456.

Contact Information

Primary practice address
4385 Johns Creek Pkwy Suite 200 Suwanee GA 30024-6093
Phone: (770) 418-0456
Fax: (770) 418-1603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000863 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000863 Georgia

Profile Details

NPI number 1902807910
LBN Legal business name Stepnicka, Jill Kathleen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 4th, 2014 - about 11 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 1902807910 NPPES
Georgia Other 260427 COVENTRY
Georgia Other 8694962 COVENTRY
Georgia MEDICAID 000870471D COVENTRY
Georgia Other 52825629 COVENTRY
Georgia Other 7882185 COVENTRY

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