Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremy Stephan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447996236

Mr. Jeremy Stephan is a Student in an Organized Health Care Education/Training Program in Portland, Maine. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3175
Phone: (207) 662-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1447996236
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 5, 2022
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address22 Bramhall St, Portland, ME 04102-3175

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