Jacob T Stephenson
Pediatric Surgery
Building 922, 48th Mdg Raf Lakenheath
New Island City
, New Island 09464-0030
Jacob T Stephenson
Pediatric Surgery
Building 922, 48th Mdg Raf Lakenheath
New Island City
, New Island 09464-0030
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Jacob T Stephenson
- Psc 41 Box 2934
- Apo, AE
- Zip : 09464-0030
- Phone :
Second Address
- Jacob T Stephenson
- Building 922, 48th Mdg Raf Lakenheath
- Apo, AE
- Zip : 09464-0030
- Phone : (916) 734-3510
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 92264 | CA |
National Provider Identifier
| NPI | 1265411979 |
|---|---|
| Provider Name | Jacob T Stephenson |
| First Address | Apo, AE 09464-0030 |
| Second Address | Apo, AE 09464-0030 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 04/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.