Israelsen, Stanford T
Israelsen, Stanford T is an individual health care provider with primary practice located at 508 Stocktrail Ave Suite A, Gillette WY 82716-3582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Israelsen, Stanford T can be contacted via phone (307) 686-1413.Contact Information
Primary practice address
508 Stocktrail Ave Suite A
Gillette WY 82716-3582
Phone: (307) 686-1413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 9750A | Wyoming |
Profile Details
| NPI number | 1093961179 |
|---|---|
| LBN Legal business name | Israelsen, Stanford T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2008 |
| Last updated | Aug 13th, 2014 - about 10 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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