Stines, Jackie R
Stines, Jackie R is an individual health care provider with primary practice located at 1600 Medical Center Drive Ste 3500, Huntington WV 25701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Stines, Jackie R can be contacted via phone (304) 691-1300.Contact Information
Primary practice address
1600 Medical Center Drive Ste 3500
Huntington WV 25701
Phone: (304) 691-1300
Fax: (304) 691-1375
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24389 | West Virginia |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 24389 | West Virginia |
Profile Details
NPI number | 1023222197 |
---|---|
LBN Legal business name | Stines, Jackie R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2007 |
Last updated | Dec 9th, 2021 - about 4 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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