Stittsworth, David L

Stittsworth, David L is an individual health care provider with primary practice located at 17713 E Shadow Lake Rd , Mount Vernon IL 62864-8136. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stittsworth, David L can be contacted via phone (618) 244-2336.

Contact Information

Primary practice address
17713 E Shadow Lake Rd Mount Vernon IL 62864-8136
Phone: (618) 244-2336
Fax: (618) 244-1993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209000982 Illinois

Profile Details

NPI number 1689636540
LBN Legal business name Stittsworth, David L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Dec 8th, 2021 - about 3 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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