Stumbras, Jeffery Jon

Stumbras, Jeffery Jon is an individual health care provider with primary practice located at 2680 Vernon Dr , Green Bay WI 54304-5374. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stumbras, Jeffery Jon can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
2680 Vernon Dr Green Bay WI 54304-5374
Phone: (920) 496-4700
Fax: (920) 496-4705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2296 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 248 Wisconsin

Profile Details

NPI number 1487676508
LBN Legal business name Stumbras, Jeffery Jon
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 6th, 2012 - about 13 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 1487676508 NPPES
Wisconsin MEDICAID 39578400

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