Adkisson, Stanley W

Adkisson, Stanley W is an individual health care provider with primary practice located at 385 Ranch Rd , Reedsport OR 97467-1707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adkisson, Stanley W can be contacted via phone (541) 271-2119.

Contact Information

Primary practice address
385 Ranch Rd Reedsport OR 97467-1707
Phone: (541) 271-2119
Fax: (541) 271-9338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22387 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD154233 Oregon

Profile Details

NPI number 1235174723
LBN Legal business name Adkisson, Stanley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 11th, 2023 - about last year

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 1235174723 NPPES
Colorado Other 840428757017 ROCKY MOUNTAIN HEALTH PLA
Colorado MEDICAID 500639477 ROCKY MOUNTAIN HEALTH PLA
Colorado MEDICAID 01223874 ROCKY MOUNTAIN HEALTH PLA
Colorado Other AD376766 ROCKY MOUNTAIN HEALTH PLA

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