Stoudt, Jeffrey Michael

Stoudt, Jeffrey Michael is an sole proprietor health care provider with primary practice located at 415 Harrisburg Avenue , Lancaster PA 17604. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Stoudt, Jeffrey Michael can be contacted via phone (717) 291-4111.

Contact Information

Primary practice address
415 Harrisburg Avenue Lancaster PA 17604
Phone: (717) 291-4111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT001361A Pennsylvania

Profile Details

NPI number 1295818086
LBN Legal business name Stoudt, Jeffrey Michael
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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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