Stolt, Jean M

Stolt, Jean M is an individual health care provider with primary practice located at 3434 M 119 Ste G , Harbor Springs MI 49740-9373. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is her primary health care specialty. Stolt, Jean M can be contacted via phone (231) 348-3970.

Contact Information

Primary practice address
3434 M 119 Ste G Harbor Springs MI 49740-9373
Phone: (231) 348-3970
Fax: (231) 348-3946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902012500 Michigan
Dental Providers / Dental Public Health 1223D0001X 2901018239 Michigan

Profile Details

NPI number 1063058097
LBN Legal business name Stolt, Jean M
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2019
Last updated Nov 25th, 2019 - about 5 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 1063058097 NPPES
Michigan MEDICAID 2902012500

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