Stuppel, Ian
Stuppel, Ian is an sole proprietor health care provider with primary practice located at 500 5Th Ave , Owego NY 13827-1620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stuppel, Ian can be contacted via phone (607) 687-1122.Contact Information
Primary practice address
500 5Th Ave
Owego NY 13827-1620
Phone: (607) 687-1122
Fax: (607) 687-4725
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 224046 | New York |
Profile Details
NPI number | 1710058524 |
---|---|
LBN Legal business name | Stuppel, Ian |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 13th, 2006 |
Last updated | Mar 18th, 2021 - about 3 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 | 1710058524 | NPPES |
New York | MEDICAID | 02280582 |
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