Idiculla, Stanley

Idiculla, Stanley is an individual health care provider with primary practice located at 112 Elden St Suite D, Herndon VA 20170-4874. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Idiculla, Stanley can be contacted via phone (703) 437-5353.

Contact Information

Primary practice address
112 Elden St Suite D Herndon VA 20170-4874
Phone: (703) 437-5353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X XXXX Virginia

Profile Details

NPI number 1043274368
LBN Legal business name Idiculla, Stanley
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 18th, 2013 - about 11 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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