Stover, Jeremy Louis

Stover, Jeremy Louis is an individual health care provider with primary practice located at 55101 Marvin Shields Blvd , Gulfport MS 39501. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Stover, Jeremy Louis can be contacted via phone (228) 229-0411.

Contact Information

Primary practice address
55101 Marvin Shields Blvd Gulfport MS 39501
Phone: (228) 229-0411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1104006246
LBN Legal business name Stover, Jeremy Louis
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Nov 6th, 2007 - about 17 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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