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
Fax: (607) 687-4725
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710058524 NPPES
New York MEDICAID 02280582

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