Stockrahm, Jon Lee
Stockrahm, Jon Lee is an sole proprietor health care provider with primary practice located at 2800 Poplar Street Ste 19 A, Terre Haute IN 47803-2659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stockrahm, Jon Lee can be contacted via phone (812) 235-7252.Contact Information
Primary practice address
2800 Poplar Street Ste 19 A
Terre Haute IN 47803-2659
Phone: (812) 235-7252
Fax: (812) 235-7176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02002047 | Indiana |
Profile Details
| NPI number | 1962409466 |
|---|---|
| LBN Legal business name | Stockrahm, Jon Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Sep 25th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962409466 | NPPES |
| Indiana | Other | 110232365 | RAILROAD MEDICARE |
| Indiana | Other | 000000211750 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 200227720A | RAILROAD MEDICARE |
| Indiana | Other | 5902718 | RAILROAD MEDICARE |
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