Stoudmire, Jonathan K
Stoudmire, Jonathan K is an individual health care provider with primary practice located at 3046 Senna Dr Suite B, Matthews NC 28105-6726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Stoudmire, Jonathan K can be contacted via phone (704) 841-3886.Contact Information
Primary practice address
3046 Senna Dr Suite B
Matthews NC 28105-6726
Phone: (704) 841-3886
Fax: (704) 841-3889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 200500827 | North Carolina |
Profile Details
| NPI number | 1710959788 |
|---|---|
| LBN Legal business name | Stoudmire, Jonathan K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jul 11th, 2011 - about 15 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 | 1710959788 | NPPES |
| North Carolina | MEDICAID | 5900927 |
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