Healthcare Provider Details

I. General information

NPI: 1639657976
Provider Name (Legal Business Name): JOB STERLING MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 N CENTRAL EXPY STE 1200
RICHARDSON TX
75080-2747
US

IV. Provider business mailing address

2435 N CENTRAL EXPY STE 1200
RICHARDSON TX
75080-2747
US

V. Phone/Fax

Practice location:
  • Phone: 973-517-5375
  • Fax:
Mailing address:
  • Phone: 973-517-5375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: