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
Fax: (209) 523-5197
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609987510 NPPES
California Other 770388035 BLUE SHIELD

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