Stiller, Sonja R

Stiller, Sonja R is an sole proprietor health care provider with primary practice located at 7200 Mentor Ave , Mentor OH 44060-7522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Phlebology is her primary health care specialty. Stiller, Sonja R can be contacted via phone (440) 710-1140.

Contact Information

Primary practice address
7200 Mentor Ave Mentor OH 44060-7522
Phone: (440) 710-1140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 350745225 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35074522S Ohio

Profile Details

NPI number 1316922255
LBN Legal business name Stiller, Sonja R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Sep 9th, 2015 - 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 1316922255 NPPES
Ohio MEDICAID 2074464

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