Quisling, Stewart
Quisling, Stewart is an individual health care provider with primary practice located at 3340 Tully Rd D-2, Modesto CA 95350-0838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Quisling, Stewart can be contacted via phone (209) 523-5195.Contact Information
Primary practice address
3340 Tully Rd D-2
Modesto CA 95350-0838
Phone: (209) 523-5195
Fax: (209) 523-5197
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | C323000 | California |
Profile Details
NPI number | 1609987510 |
---|---|
LBN Legal business name | Quisling, Stewart |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Mar 4th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609987510 | NPPES |
California | Other | 770388035 | BLUE SHIELD |
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