Stieglitz, Jeffrey B

Stieglitz, Jeffrey B is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-1647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stieglitz, Jeffrey B can be contacted via phone (208) 535-4130.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-1647
Phone: (208) 535-4130
Fax: (208) 535-4125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M5344 Idaho

Profile Details

NPI number 1780661215
LBN Legal business name Stieglitz, Jeffrey B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jan 6th, 2014 - about 10 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 1780661215 NPPES
Idaho MEDICAID 003941100
Idaho Other 58156

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