David, Bobby Stanley

David, Bobby Stanley is an individual health care provider with primary practice located at 7610 Carroll Ave Suite 270, Takoma Park MD 20912-6384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. David, Bobby Stanley can be contacted via phone (301) 891-6000.

Contact Information

Primary practice address
7610 Carroll Ave Suite 270 Takoma Park MD 20912-6384
Fax: (301) 891-6085
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0047714 Maryland

Profile Details

NPI number 1114993771
LBN Legal business name David, Bobby Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 16th, 2008 - about 16 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 1114993771 NPPES
Maryland MEDICAID 850100900

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