Stevens, Jill B.
Stevens, Jill B. is an individual health care provider with primary practice located at 222 S Herlong Ave , Rock Hill SC 29732-1158. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Stevens, Jill B. can be contacted via phone (803) 329-6711.Contact Information
Primary practice address
222 S Herlong Ave
Rock Hill SC 29732-1158
Phone: (803) 329-6711
Fax: (803) 329-5120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 12 | South Carolina |
Profile Details
| NPI number | 1407846470 |
|---|---|
| LBN Legal business name | Stevens, Jill B. |
| Credentials | AA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jun 23rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407846470 | NPPES |
| South Carolina | MEDICAID | AA0009 |
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