Stivers, Jennifer Ellen

Stivers, Jennifer Ellen is an individual health care provider with primary practice located at 333 S 3Rd St Suite A, Danville KY 40422-2016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Stivers, Jennifer Ellen can be contacted via phone (859) 236-7712.

Contact Information

Primary practice address
333 S 3Rd St Suite A Danville KY 40422-2016
Phone: (859) 236-7712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 42743 Kentucky

Profile Details

NPI number 1891975363
LBN Legal business name Stivers, Jennifer Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2007
Last updated Jun 16th, 2023 - about last year

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 1891975363 NPPES
Other 11982653 CAQH
MEDICAID 7100078700 CAQH

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