Sundstrom, Jeffrey M
Sundstrom, Jeffrey M is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Sundstrom, Jeffrey M can be contacted via phone (717) 531-5690.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033
Phone: (717) 531-5690
Fax: (717) 531-5009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT193104 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301100103 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD450629 | Pennsylvania |
Profile Details
| NPI number | 1205094208 |
|---|---|
| LBN Legal business name | Sundstrom, Jeffrey M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2008 |
| Last updated | Jun 6th, 2018 - about 6 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 | 1205094208 | NPPES |
| Pennsylvania | Other | 331432 | MEDICARE |
| Pennsylvania | MEDICAID | 1028974160001 | MEDICARE |
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