Koontz, Stanley E

Koontz, Stanley E is an individual health care provider with primary practice located at 800 Hospital Dr Suite # 1, New Bern NC 28560-3410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Koontz, Stanley E can be contacted via phone (252) 633-8119.

Contact Information

Primary practice address
800 Hospital Dr Suite # 1 New Bern NC 28560-3410
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.086533 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2006-01265 North Carolina

Profile Details

NPI number 1780662411
LBN Legal business name Koontz, Stanley E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 29th, 2019 - about 6 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 1780662411 NPPES
Ohio MEDICAID 2583717
Ohio MEDICAID 0056419

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