Stoll, Jeffrey G

Stoll, Jeffrey G is an individual health care provider with primary practice located at 2525 13Th St , Boulder CO 80304-4104. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Stoll, Jeffrey G can be contacted via phone (303) 449-6050.

Contact Information

Primary practice address
2525 13Th St Boulder CO 80304-4104
Phone: (303) 449-6050
Fax: (720) 565-4128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN.00008865 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0004872 Colorado

Profile Details

NPI number 1265405708
LBN Legal business name Stoll, Jeffrey G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265405708 NPPES
Colorado MEDICAID 70609373

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