Clarke, Stanley D

Clarke, Stanley D is an individual health care provider with primary practice located at 1110 S Jackson Hwy , Sheffield AL 35660-5747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Clarke, Stanley D can be contacted via phone (256) 383-5211.

Contact Information

Primary practice address
1110 S Jackson Hwy Sheffield AL 35660-5747
Phone: (256) 383-5211
Fax: (256) 381-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 00019049 Alabama

Profile Details

NPI number 1104829688
LBN Legal business name Clarke, Stanley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated May 8th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104829688 NPPES
Alabama Other 051504899 AL BCBS
Alabama Other 051504900 AL BCBS
Alabama MEDICAID 529909740 AL BCBS
Alabama MEDICAID 103413 AL BCBS
Alabama Other 515-45255 AL BCBS
Alabama Other 515-45256 AL BCBS
Alabama MEDICAID 103086 AL BCBS
Alabama MEDICAID 009973900 AL BCBS
Alabama MEDICAID 051550973 AL BCBS

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