Stull, Jennifer Carey

Stull, Jennifer Carey is an individual health care provider with primary practice located at 4000 Sterrettania Rd Uppr Level , Erie PA 16506-4125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Stull, Jennifer Carey can be contacted via phone (814) 835-6640.

Contact Information

Primary practice address
4000 Sterrettania Rd Uppr Level Erie PA 16506-4125
Fax: (814) 835-6649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0S013868 Pennsylvania

Profile Details

NPI number 1457395055
LBN Legal business name Stull, Jennifer Carey
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 12th, 2023 - about 2 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 1457395055 NPPES
Pennsylvania MEDICAID 1017397170001

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