Stoddard, Jennifer Kate

Stoddard, Jennifer Kate is an individual health care provider with primary practice located at 293 Olmsted Blvd , Pinehurst NC 28374-9023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Stoddard, Jennifer Kate can be contacted via phone (910) 295-3344.

Contact Information

Primary practice address
293 Olmsted Blvd Pinehurst NC 28374-9023
Fax: (910) 295-3165
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 9900902 North Carolina

Profile Details

NPI number 1225028525
LBN Legal business name Stoddard, Jennifer Kate
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jun 19th, 2012 - about 12 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 1225028525 NPPES
North Carolina MEDICAID 5902172

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