Elijah, Stan

Elijah, Stan is an sole proprietor health care provider with primary practice located at 4565 Quail Lakes Dr Ste A1 , Stockton CA 95207-5294. He recently has only one registered license in Other Service Providers / Reflexologist, which is considered as his primary health care specialty. Elijah, Stan can be contacted via phone (209) 888-8602.

Contact Information

Primary practice address
4565 Quail Lakes Dr Ste A1 Stockton CA 95207-5294
Phone: (209) 888-8602
Fax: (209) 888-8603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Reflexologist 173C00000X 201438 California

Profile Details

NPI number 1821329418
LBN Legal business name Elijah, Stan
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2010
Last updated Jan 20th, 2010 - about 14 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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