Stewart, Jack O.

Stewart, Jack O. is an individual health care provider with primary practice located at 1310 W Stewart Dr Ste 408 , Orange CA 92868-3855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Stewart, Jack O. can be contacted via phone (714) 639-9401.

Contact Information

Primary practice address
1310 W Stewart Dr Ste 408 Orange CA 92868-3855
Phone: (714) 639-9401
Fax: (714) 919-8807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G48397 California

Profile Details

NPI number 1942278452
LBN Legal business name Stewart, Jack O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 21st, 2022 - about 2 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 1942278452 NPPES
California Other 1912919804 NPI - TYPE 2
California Other WG48397D NPI - TYPE 2
California Other 1912919804 NPI - TYPE 2
California Other CG5665 NPI - TYPE 2
California Other 290003382 NPI - TYPE 2
California Other W1514 NPI - TYPE 2

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