Stockwell, Jeffery D

Stockwell, Jeffery D is an individual health care provider with primary practice located at 2615 Fairway St , Dickinson ND 58601-2590. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Stockwell, Jeffery D can be contacted via phone (701) 456-6000.

Contact Information

Primary practice address
2615 Fairway St Dickinson ND 58601-2590
Phone: (701) 456-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25328 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R27770 North Dakota

Profile Details

NPI number 1407957418
LBN Legal business name Stockwell, Jeffery D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 15th, 2018 - about 6 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 1407957418 NPPES
Montana Other 370061 BLUE CROSS/BLUE SHIELD MT
Montana Other P00298214 BLUE CROSS/BLUE SHIELD MT
Montana MEDICAID 4307550 BLUE CROSS/BLUE SHIELD MT
Montana Other 370061 BLUE CROSS/BLUE SHIELD MT
Montana MEDICAID 19836 BLUE CROSS/BLUE SHIELD MT

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