Mogelson, Stanley
Mogelson, Stanley is an sole proprietor health care provider with primary practice located at 660 Shoshone St E Suite 110, Twin Falls ID 83301-6110. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mogelson, Stanley can be contacted via phone (208) 732-3380.Contact Information
Primary practice address
660 Shoshone St E Suite 110
Twin Falls ID 83301-6110
Phone: (208) 732-3380
Fax: (208) 732-3300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M6806 | Idaho |
Profile Details
| NPI number | 1134169501 |
|---|---|
| LBN Legal business name | Mogelson, Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Apr 14th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134169501 | NPPES |
| Idaho | Other | P00240855 | RR MEDICARE |
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